Boroujerdi-Rad, Hassan

Boroujerdi-Rad, Hassan is an individual health care provider with primary practice located at 14350 East Whittier Blvd, 101, Whittier CA 90605-2138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Boroujerdi-Rad, Hassan can be contacted via phone (562) 907-7616.

Contact Information

Primary practice address
14350 East Whittier Blvd, 101 Whittier CA 90605-2138
Phone: (562) 907-7616
Fax: (562) 907-7615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A55053 California

Profile Details

NPI number 1205814837
LBN Legal business name Boroujerdi-Rad, Hassan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 10th, 2009 - about 15 years 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 1205814837 NPPES
California MEDICAID 00A550530

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