Nejadrasool, Mansour

Nejadrasool, Mansour is an sole proprietor health care provider with primary practice located at 14600 Sherman Way Ste 230 , Van Nuys CA 91405. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Nejadrasool, Mansour can be contacted via phone (818) 784-8420.

Contact Information

Primary practice address
14600 Sherman Way Ste 230 Van Nuys CA 91405
Phone: (818) 784-8420
Fax: (818) 785-0028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4452 California
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E4452 California

Profile Details

NPI number 1477565828
LBN Legal business name Nejadrasool, Mansour
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Aug 29th, 2018 - about 6 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 1477565828 NPPES
California Other 6445430003 NORIDIAN SECOND PTAN FOR VAN NUYS CLINIC

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