# SHAHIN POURRABBANI, MD, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1710421276
- **Authorized official:** DR. SHAHIN POURRABBANI MD (OWNER)
- **Authorized official phone:** (310) 490-9044

## Contact information

- **Practice address:** 4950 SAN BERNARDINO ST, 200, MONTCLAIR, CA 91763-2328
- **Practice address phone:** (909) 621-7647
- **Mailing address:** 4955 VAN NUYS BLVD, SUITE 200, SHERMAN OAKS, CA 91403-1801
- **Mailing address phone:** (310) 490-9044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A112416 | CA | Yes |

## Other

- **Enumeration date:** 12/16/2016
- **Last updated:** 12/16/2016