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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710553268 | NPPES |
| California | MEDICAID | 95017458 | |
| California | Other | 95017458 |
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