Raiszadeh, Kian
Raiszadeh, Kian is an sole proprietor health care provider with primary practice located at 2725 Ridgegate Row , La Jolla CA 92037-0915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Raiszadeh, Kian can be contacted via phone (201) 600-4903.Contact Information
Primary practice address
2725 Ridgegate Row
La Jolla CA 92037-0915
Phone: (201) 600-4903
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | A99221 | California |
Profile Details
| NPI number | 1013117183 |
|---|---|
| LBN Legal business name | Raiszadeh, Kian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Oct 13th, 2021 - about 3 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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