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Reza Fardanesh
Diagnostic Radiology Physician in Los Angeles, California
NPI 1972763993

Reza Fardanesh is a Diagnostic Radiology Physician based in Los Angeles, CA and is specialized in Diagnostic Radiology. Reza Fardanesh practices in Los Angeles, CA. The NPI Number for Reza Fardanesh is 1972763993 and holds a License No. 286765 (California).

The current practice location address for Reza Fardanesh is 757 Westwood Plz, Los Angeles, CA and can be reached out via phone at 310-301-6800 and via fax at 310-794-9035.

Location: 757 Westwood Plz, Los Angeles, CA, 90045-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972763993
Provider Name
Reza Fardanesh
Credential
Provider Entity Type
Individual
Gender
Male
Address
757 Westwood Plz, Los Angeles, CA, 90045-5631
Phone Number
310-301-6800
Fax Number
310-794-9035
Provider Enumeration Date
06/12/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04698564 05 NY
institution
Provider Business Practice Location Address Details
Address
757 Westwood Plz
City
Los Angeles
State
California
Zip
90095-3725
Phone Number
310-301-6800
Fax Number
310-794-9035
person
Provider Business Mailing Address Details
Address
757 Westwood Plz
City
Los Angeles
State
California
Zip
90095-3725
Phone Number
310-301-6800
Fax Number
310-794-9035
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
286765 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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