Dadsetan, Mohammad Reza

Dadsetan, Mohammad Reza is an sole proprietor health care provider with primary practice located at 225 S Glenoaks Blvd , Burbank CA 91502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dadsetan, Mohammad Reza can be contacted via phone (818) 843-1919.

Contact Information

Primary practice address
225 S Glenoaks Blvd Burbank CA 91502
Phone: (818) 843-1919
Fax: (818) 843-3587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A49092 California
Other Service Providers / Specialist 174400000X A49092 California

Profile Details

NPI number 1588757074
LBN Legal business name Dadsetan, Mohammad Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Sep 26th, 2023 - about 3 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 1588757074 NPPES
California Other A49092 MEDICAL CERTIFICATE
California MEDICAID 00A490920 MEDICAL CERTIFICATE

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