Healthcare Provider Details

I. General information

NPI: 1528100336
Provider Name (Legal Business Name): R&B MEDICAL GROUP,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 VALJEAN AVE
VAN NUYS CA
91406
US

IV. Provider business mailing address

27 TECHNOLOGY DR
IRVINE CA
92618-2364
US

V. Phone/Fax

Practice location:
  • Phone: 844-826-8274
  • Fax: 949-783-5302
Mailing address:
  • Phone: 844-826-8274
  • Fax: 844-826-8274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMAD RASEKHI
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 818-203-5561