Individual
DR. MEHRYAR RAY TABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
9735 WILSHIRE BLVD., SUITE 204, BEVERLY HILLS, CA 90212
(310) 278-1836
(310) 278-1828
Mailing address
9735 WILSHIRE BLVD, STE 319, BEVERLY HILLS, CA 90212-2111
(310) 278-1836
(310) 278-1828
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A99093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A990930
—
CA
Enumeration date
06/18/2007
Last updated
03/16/2020
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