Rezai, Damoun A
Rezai, Damoun A is an individual health care provider with primary practice located at 69175 Ramon Rd Bldg A , Cathedral City CA 92234-3344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rezai, Damoun A can be contacted via phone (760) 321-6776.Contact Information
Primary practice address
69175 Ramon Rd Bldg A
Cathedral City CA 92234-3344
Phone: (760) 321-6776
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A138824 | California |
Profile Details
| NPI number | 1619300761 |
|---|---|
| LBN Legal business name | Rezai, Damoun A |
| Credentials | M.D., M.H.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2013 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1619300761 | NPPES |
| California | Other | 07738172 | ECFMG |
| California | Other | 1619300761 | ECFMG |
| California | Other | A138824 | ECFMG |
| California | Other | D2728162 | ECFMG |
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