Alizadeh, Reza
Alizadeh, Reza is an individual health care provider with primary practice located at 1807 Wilshire Blvd Ste 203 , Santa Monica CA 90403-5790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Glaucoma Specialist, which is considered as his primary health care specialty. Alizadeh, Reza can be contacted via phone (310) 829-0160.Contact Information
Primary practice address
1807 Wilshire Blvd Ste 203
Santa Monica CA 90403-5790
Phone: (310) 829-0160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | A178828 | California |
Profile Details
| NPI number | 1205360484 |
|---|---|
| LBN Legal business name | Alizadeh, Reza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2017 |
| Last updated | Apr 1st, 2024 - about 2 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 | 1205360484 | NPPES |
| Ohio | MEDICAID | 0441846 |
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