# MOHAMMAD RIAZ MD INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MERCY MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104014414
- **Authorized official:** MR. MOHAMMAD RIAZ MD (OWNER)
- **Authorized official phone:** (562) 531-7790

## Contact information

- **Practice address:** 16444 PARAMOUNT BLVD STE 103, PARAMOUNT, CA 90723-5453
- **Practice address phone:** (562) 531-7790
- **Mailing address:** 16444 PARAMOUNT BLVD STE 103, PARAMOUNT, CA 90723-5453
- **Mailing address phone:** (562) 531-7790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A32746 | CA | Yes |
| 208D00000X | General Practice Physician | A91582 | CA | — |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 08/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0056880 | — | CA |