Organization
JOHN G REZAPOUR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G REZAPOUR M.D. (PHYSICIAN)
(818) 205-1200
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD STE 211, ENCINO, CA 91436-1938
(818) 205-1200
(818) 205-1254
Mailing address
16661 VENTURA BLVD STE 211, ENCINO, CA 91436-1938
(818) 205-1200
(818) 205-1254
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A77006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A770061
—
CA
Enumeration date
12/21/2007
Last updated
03/17/2018
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