Healthcare Provider Details

I. General information

NPI: 1144286972
Provider Name (Legal Business Name): NASROLLAH RASHIDI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ESPLANADE DR #1520
OXNARD CA
93036
US

IV. Provider business mailing address

500 ESPLANADE DR #1520
OXNARD CA
93036
US

V. Phone/Fax

Practice location:
  • Phone: 805-983-3300
  • Fax: 805-485-1529
Mailing address:
  • Phone: 805-983-3300
  • Fax: 805-485-1529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC38933
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: