Radparvar, Mansoor
Radparvar, Mansoor is an sole proprietor health care provider with primary practice located at 12751 Harbor Blvd , Garden Grove CA 92840-5800. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Radparvar, Mansoor can be contacted via phone (714) 636-7852.Contact Information
Primary practice address
12751 Harbor Blvd
Garden Grove CA 92840-5800
Phone: (714) 636-7852
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C50959 | California |
Profile Details
| NPI number | 1801801279 |
|---|---|
| LBN Legal business name | Radparvar, Mansoor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Nov 10th, 2011 - about 14 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 | 1801801279 | NPPES |
| California | MEDICAID | 00C509590 | |
| California | Other | C50959 |
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