| Rehan Muttalib Md | |
|
23639 Hawthorne Blvd Ste 102 Torrance CA 90505-5985 | |
| (310) 373-9980 | |
| Not Available |
| Full Name | Rehan Muttalib Md |
|---|---|
| Speciality | Family Medicine |
| Location | 23639 Hawthorne Blvd Ste 102, Torrance, California |
| Authorized Official Name and Position | Marlon Santiago (OPERATIONS MANAGER) |
| Authorized Official Contact | 3105341141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehan Muttalib Md 23639 Hawthorne Blvd Ste 102 Torrance CA 90505-5985 Ph: (310) 373-9980 | Rehan Muttalib Md 23639 Hawthorne Blvd Ste 102 Torrance CA 90505-5985 Ph: (310) 373-9980 |
| NPI Number | 1063146041 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 10/24/2022 |
| Medicare PECOS PAC ID | 6800279225 |
|---|---|
| Medicare Enrollment ID | O20220818000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063146041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rehan Muttalib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679068506 PECOS PAC ID: 8022353705 Enrollment ID: I20210914001227 |
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