Healthcare Provider Details

I. General information

NPI: 1437543501
Provider Name (Legal Business Name): WUFAA ALRASHID M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 10/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CONGRESS ST SUITE 512
PASADENA CA
91105-3045
US

IV. Provider business mailing address

10 CONGRESS ST SUITE 512
PASADENA CA
91105-3045
US

V. Phone/Fax

Practice location:
  • Phone: 626-449-4438
  • Fax: 626-449-4458
Mailing address:
  • Phone: 626-449-4438
  • Fax: 626-449-4458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA95090
License Number StateCA

VIII. Authorized Official

Name: DR. WUFAA NAZIH ALRASHID
Title or Position: DOCTOR
Credential: M.D.
Phone: 909-560-9789