Healthcare Provider Details

I. General information

NPI: 1083233654
Provider Name (Legal Business Name): ALL IN ONE CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11843 WHITTIER BLVD
WHITTIER CA
90601-3941
US

IV. Provider business mailing address

11843 WHITTIER BLVD
WHITTIER CA
90601-3941
US

V. Phone/Fax

Practice location:
  • Phone: 562-325-5336
  • Fax: 833-974-2208
Mailing address:
  • Phone: 562-325-5336
  • Fax: 833-974-2208

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 Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAMOUN REZAI
Title or Position: OWNER
Credential: MD
Phone: 562-325-5336