Individual
LAITH TAWFEEQ ALRESHAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S FREMONT AVE BLDG A9, OFFICE OF REVENUE CYCLE MANAGEMENT PROVIDER ENROLLMEN, ALHAMBRA, CA 91803-8800
(626) 457-5848
(626) 457-4125
Mailing address
4499 VIA MARISOL, APT 139, LOS ANGELES, CA 90042-5147
(626) 437-1991
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301103709
MI
207P00000X
Emergency Medicine Physician
Primary
A144334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730529694
MEDICARE
CA
Enumeration date
06/25/2013
Last updated
08/22/2016
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