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MATT REZA KHOSHNEVIS MD A PROFESSIONAL CORPORATION NPI 1295104354


NPI Information

NPI: 1295104354
Provider Name: MATT REZA KHOSHNEVIS MD A PROFESSIONAL CORPORATION
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
3851 KATELLA AVE
SUITE 315
LOS ALAMITOS, CA
ZIP 90720
Phone: (562) 626-8016
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MATT REZA KHOSHNEVIS MD A PROFESSIONAL CORPORATION is a pulmonary disease internal medicine in Los Alamitos, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MATT REZA KHOSHNEVIS MD A PROFESSIONAL CORPORATION NPI is 1295104354. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3851 KATELLA AVE
SUITE 315
LOS ALAMITOS, CA
ZIP 90720-309
Phone: (562) 626-8016

The provider's authorized official is Laura Quinonez .
The authorized official title is Office Manager and has the following contact phone number (562) 626-8016.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 2/17/2016.


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
1207RS0012XInternal MedicineSleep MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseYes

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
11215032305OTHERTEXASINDIVIDUAL NPI

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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