Individual
DR. HAMED TAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1045 ATLANTIC AVE STE 512, LONG BEACH, CA 90813-3422
(562) 435-0862
(562) 435-0863
Mailing address
1045 ATLANTIC AVE STE 512, LONG BEACH, CA 90813-3422
(562) 435-0862
(562) 435-0863
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
274616
NY
208600000X
Surgery Physician
MD446301
PA
2086S0129X
Vascular Surgery Physician
Primary
MD446301
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103082942
—
PA
05
—
112351300
—
MD
01
—
A138318
LICENSE
CA
Enumeration date
08/22/2007
Last updated
12/18/2018
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