Organization
DR. NASSER REDJAL M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASSER REDJAL M.D. (PRESIDENT)
(818) 782-2332
Entity
Organization
Contact information
Practice address
15243 VANOWEN ST, STE. 304, VAN NUYS, CA 91405-3605
(818) 782-2332
(818) 782-2333
Mailing address
15243 VANOWEN ST, STE. 304, VAN NUYS, CA 91405-3605
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A41807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A418071
—
CA
Enumeration date
12/19/2007
Last updated
04/10/2008
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