Organization
MEHRAN NOWFAR-RAD, M.D., INC.
Active
Organization
MEHRAN NOWFAR-RAD, M.D., INC.
Active
Other names
Regency Dermatology, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRAN NOWFAR-RAD M.D. (PRESIDENT)
(818) 990-9665
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD, SUITE # 217, ENCINO, CA 91316-1502
(818) 990-9665
Mailing address
5400 BALBOA BLVD, SUITE # 217, ENCINO, CA 91316-1502
(818) 990-9665
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A66360
CA
Other
Enumeration date
08/11/2007
Last updated
08/11/2007
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