Reza Rasouli, MD | |
1665 Scenic Ave, Ste # 100, Costa Mesa, CA 92626-1445 | |
(714) 436-4444 | |
Not Available |
Full Name | Reza Rasouli |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 1665 Scenic Ave, Costa Mesa, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053395731 | NPI | - | NPPES |
42346 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 40509 (Tennessee) | Secondary |
208M00000X | Hospitalist | A85426 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fountain Valley Regional Hospital & Medical Center | Fountain valley, CA | Hospital |
Memorialcare Orange Coast Medical Center | Fountain valley, CA | Hospital |
Entity Name | Healthcare Partners Affiliates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Entity Name | Prohealth Partners, A Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003949975 PECOS PAC ID: 2769388412 Enrollment ID: O20031211000927 |
Entity Name | Reza Rasouli Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982477634 PECOS PAC ID: 7416305495 Enrollment ID: O20231201000603 |
Mailing Address | Practice Location Address |
---|---|
Reza Rasouli, MD 1665 Scenic Ave, Ste # 100, Costa Mesa, CA 92626-1445 Ph: (714) 436-4444 | Reza Rasouli, MD 1665 Scenic Ave, Ste # 100, Costa Mesa, CA 92626-1445 Ph: (714) 436-4444 |
Dr. Evelyn Abiue Ely, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1665 Scenic Ave, Ste. 100, Costa Mesa, CA 92626 Phone: 714-436-4444 Fax: 714-436-4812 |