Organization
SHAHIN POURRABBANI, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHIN POURRABBANI MD (OWNER)
(310) 490-9044
Entity
Organization
Contact information
Practice address
4950 SAN BERNARDINO ST, 200, MONTCLAIR, CA 91763-2328
(909) 621-7647
Mailing address
4955 VAN NUYS BLVD, SUITE 200, SHERMAN OAKS, CA 91403-1801
(310) 490-9044
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A112416
CA
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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