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LAITH TAWFEEQ ALRESHAID MD
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1730529694
Individual Registrant: LAITH TAWFEEQ ALRESHAID MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1000 S FREMONT AVE BLDG A9 OFFICE OF REVENUE CYCLE MANAGEMENT PROVIDER ENROLLMEN ALHAMBRA, CA 91803-8800 US
Tel: 626-457-5848 Fax: 626-457-4125
Tel: 626-457-5848 Fax: 626-457-4125
Contact information for business:
4499 VIA MARISOL APT 139 LOS ANGELES, CA 90042-5147 US
Tel: 626-437-1991 Fax: --
Tel: 626-437-1991 Fax: --
Registration Information:
NPI: 1730529694
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | MI | 4301103709 |
| Y | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | CA | A144334 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE | 1730529694 | CA | 01 |
