# MARYAM RAHBAR, MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Coast Spine Institute and Pain Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245393602
- **Authorized official:** DR. MARYAM RAHBAR (DIRECTOR)
- **Authorized official phone:** (714) 847-3666

## Contact information

- **Practice address:** 17822 BEACH BLVD STE 101, HUNTINGTON BEACH, CA 92647-7179
- **Practice address phone:** (714) 847-3666
- **Practice address fax:** (714) 847-7171
- **Mailing address:** PO BOX 11869, NEWPORT BEACH, CA 92658-5044
- **Mailing address phone:** (714) 847-3666
- **Mailing address fax:** (714) 847-7171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AAAHC 77516 | CA | Yes |
| 261QP3300X | Pain Clinic/Center | A2677838 | CA | — |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 10/16/2023