Organization
ATA MAZAHERI MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATA MAZAHERI MD (PRESIDENT)
(818) 246-3300
Entity
Organization
Contact information
Practice address
1560 E CHEVY CHASE DR, SUITE #450, GLENDALE, CA 91206-4197
(818) 246-3300
(818) 246-3305
Mailing address
1560 E. CHEVY CHASE DRIVE, SUITE #450, GLENDALE, CA 91206
(818) 246-3300
(818) 246-3305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A79930
CA
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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