Individual
ALI REZAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 BEVERLY BLVD, THALIANS BUILDING E225, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6143
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A127158
CA
207RG0100X
Gastroenterology Physician
Primary
A127158
CA
Other
Enumeration date
02/06/2014
Last updated
11/27/2018
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