Ehsan, Reza Ray
Ehsan, Reza Ray is an sole proprietor health care provider with primary practice located at 11600 Venice Blvd , Los Angeles CA 90066-4014. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Ehsan, Reza Ray can be contacted via phone (310) 390-9551.Contact Information
Primary practice address
11600 Venice Blvd
Los Angeles CA 90066-4014
Phone: (310) 390-9551
Fax: (310) 390-9296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A50372 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A50372 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A50372 | California |
Profile Details
| NPI number | 1467537480 |
|---|---|
| LBN Legal business name | Ehsan, Reza Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jan 5th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467537480 | NPPES |
| California | MEDICAID | 1467537480 |
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