Individual
DR. DONNY MEHRABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 WILSON TER STE 240, GLENDALE, CA 91206-4033
(310) 205-3555
Mailing address
1112 MONTANA AVE STE 912, SANTA MONICA, CA 90403-1652
(310) 205-3555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A84588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A845880
—
CA
Enumeration date
08/15/2006
Last updated
10/01/2020
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