Ebrahimi, Abdolrasool

Ebrahimi, Abdolrasool is an individual health care provider with primary practice located at 575 E Hardy Street Suite 221, Inglewood CA 90301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ebrahimi, Abdolrasool can be contacted via phone (310) 677-9131.

Contact Information

Primary practice address
575 E Hardy Street Suite 221 Inglewood CA 90301
Phone: (310) 677-9131
Fax: (310) 544-7262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C405200 California

Profile Details

NPI number 1114933314
LBN Legal business name Ebrahimi, Abdolrasool
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1114933314 NPPES
California Other 00C405200 BLUE SHIELD
California MEDICAID 00C405200 BLUE SHIELD

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