Organization
REZA KERMANI MD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA KERMANI M.D. (PRESIDENT)
(310) 920-6925
Entity
Organization
Contact information
Practice address
38920 TRADE CENTER DR, PALMDALE, CA 93551-3715
(612) 554-4106
(972) 323-7840
Mailing address
35 E GLENARM ST, PASADENA, CA 91105-3418
(626) 768-4415
(626) 403-0321
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
A111955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A111955
MEDICAL LICENSE
CA
Enumeration date
08/06/2015
Last updated
10/07/2023
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