Individual
DR. SIMON B RAYHANABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3791 KATELLA AVE, #201, LOS ALAMITOS, CA 90720-3105
(562) 596-6736
(562) 596-5387
Mailing address
3791 KATELLA AVE STE 201, LOS ALAMITOS, CA 90720-2016
(562) 596-6736
(562) 596-5387
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A36844
CA
2086S0129X
Vascular Surgery Physician
Primary
A36844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A368440
—
CA
Enumeration date
07/09/2006
Last updated
12/04/2025
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