Individual
REZA JARRAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLZ, #465, LOS ANGELES, CA 90095-0001
(310) 825-0065
(310) 794-7933
Mailing address
200 SCHULZ DR, RED BANK, NJ 07701-6776
(732) 426-3420
(848) 800-4801
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA11709700
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
A66518
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
ME165899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A665180
—
CA
05
—
0954411
—
NJ
Enumeration date
09/25/2006
Last updated
06/27/2024
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