Individual
DR. MOHAMMAD REZA KALANTARI NEJAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16661 VENTURA BLVD, SUITE 312, ENCINO, CA 91436-1914
(818) 380-9191
(818) 380-9190
Mailing address
16661 VENTURA BLVD, SUITE 312, ENCINO, CA 91436-1914
(818) 380-9191
(818) 380-9190
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A48313
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A48313
CA
Other
Enumeration date
11/20/2006
Last updated
05/01/2009
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