Individual
AMIR HOMAYON RAEESY-NEZHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16311 VENTURA BLVD STE 955, ENCINO, CA 91436-4339
(818) 701-0017
(818) 817-5541
Mailing address
16311 VENTURA BLVD STE 955, ENCINO, CA 91436-4339
(818) 701-0017
(818) 817-5541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36003
AZ
207R00000X
Internal Medicine Physician
Primary
A97308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A97308
MEDICAL LICENSE
CA
Enumeration date
10/06/2006
Last updated
11/15/2022
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