Rasouli, Reza

Rasouli, Reza is an individual health care provider with primary practice located at 1665 Scenic Ave Ste # 100, Costa Mesa CA 92626-1445. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Rasouli, Reza can be contacted via phone (714) 436-4444.

Contact Information

Primary practice address
1665 Scenic Ave Ste # 100 Costa Mesa CA 92626-1445
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 40509 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A85426 California

Profile Details

NPI number 1053395731
LBN Legal business name Rasouli, Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Oct 30th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053395731 NPPES
Louisiana MEDICAID 42346

Popular Providers