Active NPI
Rezvan Habibian, PH.D
- Clinical Cytogenetics Physician
- Monrovia, CA
National Provider Identifier
1174715783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cytogenetics Physician
- License
- DRM5
- Practice address
- 655 E Huntington Dr
Monrovia, CA 91016-3636 - Phone
- (626) 471-7507
- Fax
- (626) 471-7510
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cytogenetics Physician | 207SC0300X | DRM5 | CA | Primary |
Addresses
Primary practice location
655 E Huntington Dr
Monrovia, CA 91016-3636
Mailing address
655 E Huntington Dr
Monrovia, CA 91016-3636
Phone (626) 471-7507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DRM5 | CA | MD | Clinical Cytogenetics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1174715783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 E HUNTINGTON DR",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163636",
"telephone_number": "626-471-7507",
"fax_number": "626-471-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 E HUNTINGTON DR",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163636",
"telephone_number": "626-471-7507",
"fax_number": "626-471-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABIBIAN",
"first_name": "REZVAN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207SC0300X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Cytogenetics",
"state": "CA",
"license": "DRM5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.