# JOHN G REZAPOUR MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922282284
- **Authorized official:** JOHN G REZAPOUR M.D. (PHYSICIAN)
- **Authorized official phone:** (818) 205-1200

## Contact information

- **Practice address:** 16661 VENTURA BLVD STE 211, ENCINO, CA 91436-1938
- **Practice address phone:** (818) 205-1200
- **Practice address fax:** (818) 205-1254
- **Mailing address:** 16661 VENTURA BLVD STE 211, ENCINO, CA 91436-1938
- **Mailing address phone:** (818) 205-1200
- **Mailing address fax:** (818) 205-1254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A77006 | CA | Yes |

## Other

- **Enumeration date:** 12/21/2007
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A770061 | — | CA |