Provider Demographics
NPI:1699009258
Name:MARGARET LEILA RASOULI MD INC
Entity Type:Organization
Organization Name:MARGARET LEILA RASOULI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:LEILA
Authorized Official - Last Name:RASOULI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-600-7228
Mailing Address - Street 1:24411 HEALTH CENTER DR
Mailing Address - Street 2:STE 650
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3651
Mailing Address - Country:US
Mailing Address - Phone:949-600-7228
Mailing Address - Fax:949-600-7229
Practice Address - Street 1:24411 HEALTH CENTER DR
Practice Address - Street 2:STE 650
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3651
Practice Address - Country:US
Practice Address - Phone:949-600-7228
Practice Address - Fax:949-600-7229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty