Reza, Edward

Reza, Edward is an individual health care provider with primary practice located at 4341 Birch St Suite 100, Newport Beach CA 92660-1924. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is his primary health care specialty. Reza, Edward can be contacted via phone (949) 398-6353.

Contact Information

Primary practice address
4341 Birch St Suite 100 Newport Beach CA 92660-1924
Phone: (949) 398-6353
Fax: (949) 398-6354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC28729 California
Chiropractic Providers / Rehabilitation 111NR0400X DC28729 California

Profile Details

NPI number 1003087156
LBN Legal business name Reza, Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated Feb 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003087156 NPPES
California Other DC28729 CHIROPRACTIC LICENSE

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