Rezvani, Missra
Rezvani, Missra is an individual health care provider with primary practice located at 1010 W La Veta Ave Ste 750, Orange CA 92868-4300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Rezvani, Missra can be contacted via phone (714) 361-6600.Contact Information
Primary practice address
1010 W La Veta Ave Ste 750
Orange CA 92868-4300
Phone: (714) 361-6600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 19140 | California |
Profile Details
NPI number | 1043523707 |
---|---|
LBN Legal business name | Rezvani, Missra |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 22nd, 2010 |
Last updated | Sep 20th, 2010 - about 15 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 | 1043523707 | NPPES |
California | Other | 19140 | MEDICAL LICENSE (NP) |
California | Other | 670627 | MEDICAL LICENSE (NP) |
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