Alizadeh, Reza

Alizadeh, Reza is an individual health care provider with primary practice located at 1807 Wilshire Blvd Ste 203 , Santa Monica CA 90403-5790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Glaucoma Specialist, which is considered as his primary health care specialty. Alizadeh, Reza can be contacted via phone (310) 829-0160.

Contact Information

Primary practice address
1807 Wilshire Blvd Ste 203 Santa Monica CA 90403-5790
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X A178828 California

Profile Details

NPI number 1205360484
LBN Legal business name Alizadeh, Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2017
Last updated Apr 1st, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205360484 NPPES
Ohio MEDICAID 0441846

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