Individual
DR. REZA BAGHERPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70077 RAMON RD STE 1, RANCHO MIRAGE, CA 92270-5201
(760) 895-6557
(760) 895-6601
Mailing address
70077 RAMON RD STE 1, RANCHO MIRAGE, CA 92270-5201
(760) 895-6557
(760) 895-6601
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101263437
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A156323
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A156323
MEDICAL LICENSE
CA
Enumeration date
04/02/2012
Last updated
05/10/2019
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