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Individual

ALFRED RAHBAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.A MEDICAL CORPOR

Contact information

Practice address
5901 W OLYMPIC BLVD, SUITE 307, LOS ANGELES, CA 90036-4667
(323) 939-3669
(323) 798-1786
Mailing address
5901 W OLYMPIC BLVD, SUITE 307, LOS ANGELES, CA 90036-4667
(323) 939-3669
(323) 798-1786

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A51095
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003924168
CA
Enumeration date
08/29/2006
Last updated
02/02/2012
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