Rezai, Damoun A

Rezai, Damoun A is an individual health care provider with primary practice located at 69175 Ramon Rd Bldg A , Cathedral City CA 92234-3344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rezai, Damoun A can be contacted via phone (760) 321-6776.

Contact Information

Primary practice address
69175 Ramon Rd Bldg A Cathedral City CA 92234-3344
Phone: (760) 321-6776
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A138824 California

Profile Details

NPI number 1619300761
LBN Legal business name Rezai, Damoun A
Credentials M.D., M.H.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2013
Last updated Mar 7th, 2023 - about 3 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 1619300761 NPPES
California Other 07738172 ECFMG
California Other 1619300761 ECFMG
California Other A138824 ECFMG
California Other D2728162 ECFMG

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