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Individual

JOHN G REZAPOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A77006
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A770061
CA
Enumeration date
08/01/2006
Last updated
03/17/2018
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