Rayhanabad, Simon B
Rayhanabad, Simon B is an individual health care provider with primary practice located at 3791 Katella Ave #201, Los Alamitos CA 90720-3105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Rayhanabad, Simon B can be contacted via phone (562) 596-6736.Contact Information
Primary practice address
3791 Katella Ave #201
Los Alamitos CA 90720-3105
Phone: (562) 596-6736
Fax: (562) 596-5387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A36844 | California |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | A36844 | California |
Profile Details
| NPI number | 1710910047 |
|---|---|
| LBN Legal business name | Rayhanabad, Simon B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Aug 3rd, 2011 - about 15 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 | 1710910047 | NPPES |
| California | MEDICAID | 00A368440 |
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