Individual
DR. SHAHAB MAHBOUBIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10640 RIVERSIDE DRIVE, NORTH HOLLYWOOD, CA 91602-2319
(818) 755-6500
(818) 755-8904
Mailing address
PO BOX 261666, ENCINO, CA 91426-1666
(818) 322-0126
(818) 755-8904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A10721
CA
207X00000X
Orthopaedic Surgery Physician
248035
NY
Other
Enumeration date
05/22/2007
Last updated
05/02/2012
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