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General NPI Number Information
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NPI Number | 1982477634
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Entity Type | Organization
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Legal Business Name | REZA RASOULI MD INC
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Dates
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Enumeration Date | 11/03/2023
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 17100 EUCLID ST
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4004
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Country | US
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Telephone | 714-298-8118
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Fax |
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Provider Business Mailing Address
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Address Line | 751 S WEIR CANYON RD STE 157-283
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City | ANAHEIM
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State | CA
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Zip | 92808-1962
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Country | US
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Telephone | 714-298-8118
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | REZA RASOULI
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Credential | MD
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Telephone | 714-298-8118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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