Provider Demographics
NPI:1427755297
Name:NOVEIR, REIHANEH D (PA-C)
Entity type:Individual
Prefix:
First Name:REIHANEH
Middle Name:D
Last Name:NOVEIR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5339 LINDLEY AVE UNIT 302
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3719
Mailing Address - Country:US
Mailing Address - Phone:310-980-2787
Mailing Address - Fax:
Practice Address - Street 1:640 S SAN VICENTE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4884
Practice Address - Country:US
Practice Address - Phone:323-642-6455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA62447363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant