Pooyandeh, Rasoul

Pooyandeh, Rasoul is an individual health care provider with primary practice located at 502 W. Holt Ave. , Pomona CA 91768. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pooyandeh, Rasoul can be contacted via phone (909) 620-5699.

Contact Information

Primary practice address
502 W. Holt Ave. Pomona CA 91768
Fax: (909) 620-5799
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 27512 California

Profile Details

NPI number 1013135656
LBN Legal business name Pooyandeh, Rasoul
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 9th, 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 1013135656 NPPES
California MEDICAID DC0275120
California Other DC0275120

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