Organization
DERMAMED PROFESSIONAL CORPORATION
Active
Organization
DERMAMED PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHARAN KHORSANDI MD (PRESIDENT)
(877) 777-8346
Entity
Organization
Contact information
Practice address
18226 VENTURA BLVD, SUITE 102, TARZANA, CA 91356-4236
(877) 777-8346
(818) 643-8744
Mailing address
18226 VENTURA BLVD, SUITE 102, TARZANA, CA 91356-4236
(877) 777-8346
(818) 643-8744
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/18/2016
Last updated
11/02/2016
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