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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1043523707 NPPES
California Other 19140 MEDICAL LICENSE (NP)
California Other 670627 MEDICAL LICENSE (NP)

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