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Individual
DR. DAMOUN A REZAI
Active
Individual
DR. DAMOUN A REZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.H.A.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A138824
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07738172
ECFMG
CA
01
—
1619300761
NPI
CA
01
—
A138824
MEDICAL LIC
CA
01
—
D2728162
CA DRIVERS LICENSE
CA
Enumeration date
08/13/2013
Last updated
03/07/2023
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