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Contact Information

REZAH S MOHAMED, D.O
17310 BEAR VALLEY ROAD
SUITE 101
VICTORVILLE, CA92395
 Phone: 760-241-4499
 Fax: 760-243-9474
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for REZAH S MOHAMED · (Male)

NPI # 1104098292
Status Active
Credentials D.O
Entity Individual
Enumeration date 03/28/2008
Last updated 03/28/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # CA12960
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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