# ABTIN FOROOHAR MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396012555
- **Authorized official:** DR. ABTIN FOROOHAR MD (FOUNDER/ CEO)
- **Authorized official phone:** (310) 770-4271

## Contact information

- **Practice address:** 16661 VENTURA BLVD, \#707, ENCINO, CA 91436-1914
- **Practice address phone:** (310) 770-4271
- **Mailing address:** 16661 VENTURA BLVD, \#707, ENCINO, CA 91436-1914
- **Mailing address phone:** (310) 770-4271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A117048 | CA | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 11/16/2011