Individual
DR. SHERIF REZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6411
(714) 456-5873
Mailing address
PO BOX 513377, LOS ANGELES, CA 90051-3377
(714) 456-8835
(714) 456-6248
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A93251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A932510
BLUE SHIELD
CA
05
—
00A932510
—
CA
01
—
WA93251A
MEDICARE PTAN
CA
Enumeration date
06/26/2007
Last updated
03/25/2008
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