Rezvani, Mohammad
Rezvani, Mohammad is an sole proprietor health care provider with primary practice located at 3392 Motor Ave , Los Angeles CA 90034-3712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rezvani, Mohammad can be contacted via phone (310) 858-5090.Contact Information
Primary practice address
3392 Motor Ave
Los Angeles CA 90034-3712
Phone: (310) 858-5090
Fax: (310) 424-3404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 4301086547 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A113116 | California |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | A113116 | California |
Profile Details
| NPI number | 1487976668 |
|---|---|
| LBN Legal business name | Rezvani, Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2010 |
| Last updated | Feb 28th, 2012 - about 13 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 | 1487976668 | NPPES |
| California | MEDICAID | GR0066315 | |
| California | Other | A113116 |
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