Provider Demographics
NPI:1609971290
Name:RAHIMI, MOHAMMAD B (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:B
Last Name:RAHIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2701 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2701
Mailing Address - Country:US
Mailing Address - Phone:714-377-6993
Mailing Address - Fax:562-427-1987
Practice Address - Street 1:2701 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2701
Practice Address - Country:US
Practice Address - Phone:714-377-6993
Practice Address - Fax:562-427-1987
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20050218122080P0202X
CAA775082080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology