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Individual

REZA MESBAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1762 WESTWOOD BLVD STE 110, LOS ANGELES, CA 90024-5622
(310) 441-2000
(310) 441-2020
Mailing address
7705 SEVILLE AVE STE B, HUNTINGTON PARK, CA 90255-6570
(323) 275-9977

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101248524
VA
207QA0505X
Adult Medicine Physician
Primary
261697
NY
207QA0505X
Adult Medicine Physician
C168003
CA

Other

Enumeration date
10/29/2009
Last updated
01/24/2024
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