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General NPI Number Information
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NPI Number | 1043361546
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Entity Type | Individual
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Provider Name | MOHAMMAD H RASEKHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 14550 HAYNES ST
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City | VAN NUYS
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State | CA
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Zip | 91411-1613
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Country | US
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Telephone | 818-650-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 12100 VALLEY BLVD SUITE#109A
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City | EL MONTE
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State | CA
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Zip | 91732-3100
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Country | US
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Telephone | 626-575-7500
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Fax | 626-575-1956
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A48861
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A48861
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License Number State | CA
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