Healthcare Provider Details

I. General information

NPI: 1952233710
Provider Name (Legal Business Name): SEYEDEHPARMIS REJALI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E 2ND ST, POMONA, CA 917666
POMONA CA
91766
US

IV. Provider business mailing address

2000 INLAND EMPIRE BLVD UNIT 2326
ONTARIO CA
91764-0834
US

V. Phone/Fax

Practice location:
  • Phone: 909-623-6116
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: