Individual provider · Type 1 NPI

Niloufar Reisian, MD

Student in an Organized Health Care Education/Training Program · Orange, CA

NPI number 1124312475 Active

Practice location

101 The City Dr S, Bldg 1- Room 3003
Orange, CA 92868-3201

Call (714) 456-6141 Map

Mailing address

4647 Zion Ave, Room B738B
San Diego, CA 92120-2507

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory 291U00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124312475

Niloufar Reisian, MD's National Provider Identifier is 1124312475, issued on Jun 3, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange, CA. The record was last updated on Oct 25, 2021.