ATA DANIEL REZVANPOUR (NPI# 1841348711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841348711 |
| Entity Type | Individual |
| Full Name | ATA DANIEL REZVANPOUR |
| Credential | M.D. |
| Practice Address |
6041 Cadillac Ave. Los Angeles CA 90034-1702 |
| Mailing Address |
393 E Walnut St. 3rd Floor Phr Systems Pasadena CA 91188-0001 |
| Practice Telephone | 3238572000 |
| Practice Fax Number | 3238572619 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A36429 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A364290 | 05 |
| Street Address |
6041 CADILLAC AVE. |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90034-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265999551 | Sang Thi Kim Nguyen | Pharmacist | 6041 Cadillac Ave., Kaiser Wla Outpatient 24hr Pharmacy, Los Angeles, CA 90034 | 2019-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
| 1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
| 1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
| 1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
| 1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
| 1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
| 1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
| 1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
| 1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
| 1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
| Find all providers in zip 90034 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1801138151 | Noah A Brauner | Radiology | 1200 N State Street, D&t 3d321, Los Angeles, CA 90033 | 2013-03-25 |
| 1346508827 | Frank Hao | Radiology | 11301 Wilshire Blvd # 114, Los Angeles, CA 90073-1003 | 2012-05-02 |
| 1578882965 | Pacific Vascucare, Inc. | Radiology | 1660 W 3rd St, Los Angeles, CA 90017-1138 | 2010-05-25 |
| 1730649120 | Elizabeth Herzog | Radiology | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2019-03-21 |
| 1902332471 | Peter Hu | Radiology | 1200 N. State Street, D&t 3d321, Los Angeles, CA 90033 | 2017-05-03 |
| 1982135315 | Shimwoo Lee | Radiology | 757 Westwood Plz Ste 1638, Los Angeles, CA 90095-2302 | 2017-03-27 |
| 1366981581 | Ali Golshan Md Inc | Radiology | 11633 San Vicente Blvd Ste 240, Los Angeles, CA 90049-6513 | 2017-02-21 |
| 1891140844 | Brian Boa-yen Ng | Radiology | 1200 N State St, Los Angeles, CA 90033-1029 | 2016-04-27 |
| 1386007391 | Kabir Suri | Radiology | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2016-03-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90034 |
Please comment or provide details below to improve the information on ATA DANIEL REZVANPOUR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.