Individual
REZA MINA-ARAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 W LA VETA AVE STE 750, ORANGE, CA 92868-4312
(714) 361-6600
(714) 919-8804
Mailing address
1010 W LA VETA AVE STE 750, ORANGE, CA 92868-4312
(714) 361-6600
(714) 919-8804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A66530
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A66530
CA
207RP1001X
Pulmonary Disease Physician
A66530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
NPI - TYPE 2
—
05
—
1912919804
—
CA
01
—
CG5665
RAILROAD MEDICARE GROUP
CA
05
—
GR0003350
—
CA
01
—
P00945608
RAILROAD MEDICARE PIN
CA
01
—
W1514
MEDICARE PTAN - TYPE 2
CA
Enumeration date
08/08/2006
Last updated
07/21/2022
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