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Organization
SYRUS RAYHAN MD INC
Active
Organization
SYRUS RAYHAN MD INC
Active
Parent organization
SYRUS RAYHAN MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYRUS RAYHAN MD INC
Authorized official
DR. SYRUS RAYHAN M.D. (OWNER)
(714) 847-1277
Entity
Organization
Contact information
Practice address
17822 BEACH BLVD STE 136, HUNTINGTON BEACH, CA 92647-7178
(714) 847-1277
(714) 843-2000
Mailing address
17822 BEACH BLVD STE 136, HUNTINGTON BEACH, CA 92647-7178
(714) 847-1277
(714) 843-2000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A25892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A25892
BLUE CROSS
CA
Enumeration date
04/22/2008
Last updated
04/22/2008
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