Matt Reza Khoshnevis MD a Professional Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

MATT REZA KHOSHNEVIS MD A PROFESSIONAL CORPORATION

Practice address

3851 Katella Ave
Suite 315
Los Alamitos, CA 90720-3309

Phone

(562) 626-8016

NPI assigned

Sep 18, 2015

Last updated

Feb 17, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Quinonez

Title

Office Manager

Phone

(562) 626-8016

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1295104354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE",
            "address_2": "SUITE 315",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203309",
            "telephone_number": "562-626-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE",
            "address_2": "SUITE 315",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203309",
            "telephone_number": "562-626-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT REZA KHOSHNEVIS MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "QUINONEZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "562-626-8016"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215032305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Austin Martinez
• Mina Masri, D.O.
• Cheryl Macahilus Mateo, NP
• Carla Marie Matos, C-SLPA
• Roni Yoshiko Matsumoto, D.C.
• Jeremy W Matteson, PT, CSCS
• Danika Matuska
• Deborah Marie Mauldin, LCSW
• Haniffa M Maznavi, M.D.
• Khalid Maznavi

• Pulmonary Disease Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.