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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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 1801801279 NPPES
California MEDICAID 00C509590
California Other C50959

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