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Organization

MEHRAN TABAN M.D. INC.

Active
Other names
Macula Retina Vitreous Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MEHRAN TABAN M.D. (PHYSICIAN)
(424) 247-9090
Entity
Organization

Contact information

Practice address
20528 HAWTHORNE BLVD STE 201, TORRANCE, CA 90503-3271
(424) 247-9090
(424) 247-9095
Mailing address
20528 HAWTHORNE BLVD STE 201, TORRANCE, CA 90503-3271
(424) 247-9090
(424) 247-9095

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A108546
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A108546
LICENSE
CA
Enumeration date
11/04/2014
Last updated
01/30/2023
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