| Rasouli Medical Group | |
|
2101 N Waterman Ave San Bernardino CA 92404-4836 | |
| (909) 883-8711 | |
| Not Available |
| Full Name | Rasouli Medical Group |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2101 N Waterman Ave, San Bernardino, California |
| Authorized Official Name and Position | Gholamreza Rasouli (SOLE OWNER) |
| Authorized Official Contact | 9092894906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rasouli Medical Group 700 E Redlands Blvd Ste U, # 361 Redlands CA 92373-6143 Ph: () - | Rasouli Medical Group 2101 N Waterman Ave San Bernardino CA 92404-4836 Ph: (909) 883-8711 |
| NPI Number | 1053500561 |
|---|---|
| Provider Enumeration Date | 10/20/2007 |
| Last Update Date | 10/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053500561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A85426 (California) | Primary |
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