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Individual

DR. SOHAIL S MAHBOUBIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16133 VENTURA BLVD STE 415, ENCINO, CA 91436-2429
(818) 379-9991
(818) 995-0208
Mailing address
PO BOX 260130, ENCINO, CA 91426-0130
(818) 379-9991
(818) 995-0208

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A69412
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A694120
CA
Enumeration date
07/13/2006
Last updated
07/08/2007
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