Rezaei, Ross
Rezaei, Ross is an individual health care provider with primary practice located at 22 Odyssey Suite 165, Irvine CA 92618-3186. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Rezaei, Ross can be contacted via phone (949) 727-2192.Contact Information
Primary practice address
22 Odyssey Suite 165
Irvine CA 92618-3186
Phone: (949) 727-2192
Fax: (949) 727-2193
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT1251 | California |
Profile Details
NPI number | 1033130679 |
---|---|
LBN Legal business name | Rezaei, Ross |
Credentials | OTR/L, HTC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2006 |
Last updated | Apr 13th, 2020 - about 4 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 | 1033130679 | NPPES |
California | MEDICAID | 3791439 | |
California | Other | OT0012510 |
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