| Raeesy MD Inc | |
|
16311 Ventura Blvd Ste 955 Encino CA 91436-4339 | |
| (818) 701-0017 | |
| (818) 701-0073 |
| Full Name | Raeesy MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16311 Ventura Blvd Ste 955, Encino, California |
| Authorized Official Name and Position | Amir Homayon Raeesy (OWNER) |
| Authorized Official Contact | 8187010073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raeesy MD Inc 16311 Ventura Blvd Ste 955 Encino CA 91436-4339 Ph: (818) 701-0017 | Raeesy MD Inc 16311 Ventura Blvd Ste 955 Encino CA 91436-4339 Ph: (818) 701-0017 |
| NPI Number | 1366731762 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 08/03/2026 |
| Certification Date | 08/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366731762 | NPI | - | NPPES |
| A97308 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A97308 (California) | Primary |
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