Raeesy Md Inc

LBN: Raeesy Md Inc
Raeesy Md Inc is an health care organization with primary practice located at 9900 Balboa Blvd Suite A, Northridge CA 91325-5403. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Raeesy Md Inc can be contacted via phone (818) 701-0017, or through Raeesy, Amir Homayon via phone (818) 701-0073.

Contact Information

Primary practice address
9900 Balboa Blvd Suite A Northridge CA 91325-5403
Fax: (818) 701-0073
Website:
Authorized official contact:
Name: Raeesy, Amir Homayon Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A97308 California

Profile Details

NPI number 1366731762
LBN Legal business name Raeesy Md Inc
DBA Doing business as
Authorized official Raeesy, Amir Homayon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2011
Last updated Apr 6th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366731762 NPPES
California Other A97308 MEDICAL LICENSE

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