Mahrou, Reza
Mahrou, Reza is an individual health care provider with primary practice located at 113 Waterworks Way Suite 345, Irvine CA 92618-3167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Mahrou, Reza can be contacted via phone (949) 872-2400.Contact Information
Primary practice address
113 Waterworks Way Suite 345
Irvine CA 92618-3167
Phone: (949) 872-2400
Fax: (949) 872-2401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A76865 | California |
Profile Details
| NPI number | 1255376810 |
|---|---|
| LBN Legal business name | Mahrou, Reza |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Feb 29th, 2012 - about 14 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 | 1255376810 | NPPES |
| California | Other | A76865 | STATE LICENSE |
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