Rezamand, Mahin

Rezamand, Mahin is an individual health care provider with primary practice located at 1451 N Montebello Blvd , Montebello CA 90640-2584. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Rezamand, Mahin can be contacted via phone (323) 724-9955.

Contact Information

Primary practice address
1451 N Montebello Blvd Montebello CA 90640-2584
Phone: (323) 724-9955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1164914487
LBN Legal business name Rezamand, Mahin
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2018
Last updated Jun 1st, 2018 - about 7 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 1164914487 NPPES
Other NCF780A52374 ANTHEM BLUE CROSS

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