Individual
DR. ALI MANOOCHEHRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16060 VENTURA BLVD STE 260, ENCINO, CA 91436-2761
(310) 882-3804
Mailing address
16060 VENTURA BLVD STE 260, ENCINO, CA 91436-2761
(310) 882-3804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A79775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A797750
—
CA
Enumeration date
06/23/2006
Last updated
05/16/2015
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