Ehsan, Rahal

Ehsan, Rahal is an sole proprietor health care provider with primary practice located at 23756 Sandhurst Ln , Harbor City CA 90710-1419. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ehsan, Rahal can be contacted via phone (310) 997-2269.

Contact Information

Primary practice address
23756 Sandhurst Ln Harbor City CA 90710-1419
Phone: (310) 997-2269
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95017458 California

Profile Details

NPI number 1710553268
LBN Legal business name Ehsan, Rahal
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2021
Last updated Jun 3rd, 2021 - about 5 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 1710553268 NPPES
California MEDICAID 95017458
California Other 95017458

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