Individual
ELHAM S GHORBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CALLE EXT. SUR 503, DORADO, PR 00646
(323) 800-7999
Mailing address
PO BOX 2153, TOLUCA LAKE, CA 91610-0153
(323) 800-7999
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22625
PR
Other
Enumeration date
01/04/2022
Last updated
03/22/2022
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