Organization
ULTIMATE PHYSICAL MEDICINE & REHABILITATION APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEHDAD HAMIDI RAVARI M.D (PRESIDENT)
(949) 836-2529
Entity
Organization
Contact information
Practice address
33 CREEK RD, #260, IRVINE, CA 92604-4791
(949) 552-5572
Mailing address
2929 WESTMINSTER AVE, UNIT 3537, SEAL BEACH, CA 90740-9100
(949) 836-2529
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A130673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A130673
CA LICENSE
CA
Enumeration date
10/13/2015
Last updated
10/13/2015
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