| 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 | 36 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 |
|---|---|---|---|
| 208M00000X | Hospitalist | A85426 (California) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | 40509 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of California Irvine Medical Center | Orange, CA | Hospital |
| Memorialcare Orange Coast Medical Center | Fountain valley, CA | Hospital |
| Fountain Valley Regional Hospital & Medical Center | Fountain valley, CA | Hospital |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 751 S Weir Canyon Rd Ste 157-283, Anaheim, CA 92808-1962 Ph: (714) 298-8118 | 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 |