MEDICARE: DR. AMIR ALI RAHSEPAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	036166825	IL
2	2085R0202X	Diagnostic Radiology Physician	A172849	CA
3	2085R0202X	Diagnostic Radiology Physician	MD61393350	WA

General Provider Information

NPI Number	:	1710415146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIR ALI RAHSEPAR MD

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	757 WESTWOOD PLZ
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-2978
Country	:	US
Telephone Number	:	310-301-6800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2017
Last Update Date	:	06/24/2025

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