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MOHAMMAD RIAZ MD INCORPORATED NPI 1104014414


NPI Information

NPI: 1104014414
Provider Name: MOHAMMAD RIAZ MD INCORPORATED

Doing Business As: MERCY MEDICAL CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D0874395

Address:
16444 PARAMOUNT BLVD STE 103
PARAMOUNT, CA
ZIP 90723
Phone: (562) 531-7790
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MOHAMMAD RIAZ MD INCORPORATED is a general practice in Paramount, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MOHAMMAD RIAZ MD INCORPORATED NPI is 1104014414. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Medical Center.

The provider's business location address is:

16444 PARAMOUNT BLVD STE 103
PARAMOUNT, CA
ZIP 90723-453
Phone: (562) 531-7790

The provider's authorized official is Mohammad Riaz .
The authorized official title is Owner and has the following contact phone number (562) 531-7790.

The CLIA number assigned to this NPI record is 05D0874395 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 8/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA91582CALIFORNIANo
2208D00000XGeneral PracticeA32746CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0056880MEDICAIDCALIFORNIA
2W12151MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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