Organization
HOOMAN SHABATIAN MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOOMAN SHABATIAN M.D. (PRESIDENT)
(310) 927-2704
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD STE 106, ENCINO, CA 91316-3866
(818) 774-2755
Mailing address
17609 VENTURA BLVD STE 106, ENCINO, CA 91316-3866
(818) 774-2755
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A87662
CA
Other
Enumeration date
09/16/2008
Last updated
12/15/2022
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