# REZA RASOULI MD INC

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

## Provider details

- **NPI number:** 1982477634
- **Authorized official:** REZA RASOULI MD (CEO)
- **Authorized official phone:** (714) 298-8118

## Contact information

- **Practice address:** 17100 EUCLID ST, FOUNTAIN VALLEY, CA 92708-4004
- **Practice address phone:** (714) 298-8118
- **Mailing address:** 751 S WEIR CANYON RD STE 157-283, ANAHEIM, CA 92808-1962
- **Mailing address phone:** (714) 298-8118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2023
- **Last updated:** 09/17/2025