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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1033130679 NPPES
California MEDICAID 3791439
California Other OT0012510

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