Mohammad Rezvani
Medical Specialty
Professional ID
- NPI: 1487976668
- PECOS ID: 6406042720
- Enrollment ID: I20101130000063
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1999
Hospital Service
- Hospital CCN1: 050135
- Business Name (LBN)1: Southern California Hospital At Hollywood
- Hospital CCN2: 050742
- Business Name (LBN)2: Olympia Medical Center
- Hospital CCN3: 050235
- Business Name (LBN)3: Providence Saint Joseph Medical Ctr
- Hospital CCN4: 050740
- Business Name (LBN)4: Marina Del Rey Hospital
- Hospital CCN5: 050290
- Business Name (LBN)5: Providence Saint John's Health Center
Medical Practices
- Organization Name: Med Imaging Care Inc
- Group Practice ID assigned by PECOS: 7113180860
- Number of Group Practice member: 0
Location
- Address1: 3392 Motor Ave
- Address2:
- City: Los Angeles
- State: California
- Zip Code: 90034
- Phone Number: (310)858-5090
Location
- Address1: 9808 Venice Blvd
- Address2: Suite 603
- City: Culver City
- State: California
- Zip Code: 90232
- Phone Number: (310)842-8988
Medicare
- Medicare Assignment: Maybe
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes