Provider Demographics
NPI:1053790196
Name:RAHNEMA, CYRUS DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:CYRUS
Middle Name:DAVID
Last Name:RAHNEMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 PARK NEWPORT APT 210
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-6003
Mailing Address - Country:US
Mailing Address - Phone:702-444-6690
Mailing Address - Fax:
Practice Address - Street 1:222 N PACIFIC COAST HWY STE 2175
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-5639
Practice Address - Country:US
Practice Address - Phone:877-878-3289
Practice Address - Fax:877-817-3227
Is Sole Proprietor?:No
Enumeration Date:2015-05-21
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA171879208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery