| M T Rezai Pc | |
|
27154 Sea Vista Dr Malibu CA 90265-4437 | |
| (818) 458-0917 | |
| Not Available |
| Full Name | M T Rezai Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 27154 Sea Vista Dr, Malibu, California |
| Authorized Official Name and Position | Mohammed Rezai (PHYSICIAN OWNER) |
| Authorized Official Contact | 8184580917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M T Rezai Pc 455 E Thousand Oaks Blvd Ste B Thousand Oaks CA 91360-5800 Ph: (818) 232-5788 | M T Rezai Pc 27154 Sea Vista Dr Malibu CA 90265-4437 Ph: (818) 458-0917 |
| NPI Number | 1437791704 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 12/03/2021 |
| Medicare PECOS PAC ID | 0244760650 |
|---|---|
| Medicare Enrollment ID | O20250213002280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437791704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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