Rezapour, Mehrnoosh

Rezapour, Mehrnoosh is an individual health care provider with primary practice located at 1540 E Colorado St , Glendale CA 91205-1514. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rezapour, Mehrnoosh can be contacted via phone (818) 244-7257.

Contact Information

Primary practice address
1540 E Colorado St Glendale CA 91205-1514
Fax: (818) 243-5431
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1720203458
LBN Legal business name Rezapour, Mehrnoosh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Aug 21st, 2008 - about 16 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 1720203458 NPPES
California MEDICAID 7283

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