Healthcare Provider Details

I. General information

NPI: 1679451348
Provider Name (Legal Business Name): MULTI SPECIALTY PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19066 MAGNOLIA ST
HUNTINGTON BEACH CA
92646-2232
US

IV. Provider business mailing address

5318 E 2ND ST # 670
LONG BEACH CA
90803-5324
US

V. Phone/Fax

Practice location:
  • Phone: 949-610-1042
  • Fax:
Mailing address:
  • Phone: 949-610-1042
  • Fax: 949-610-1049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: MARYAM RAHIMI
Title or Position: CEO
Credential: DO
Phone: 714-396-4955