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Organization

KHASHAYAR MOHEBALI MD A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KHASHAYAR MOHEBALI MD (PRESIDENT)
(415) 412-4921
Entity
Organization

Contact information

Practice address
21 TAMAL VISTA BLVD, SUITE 103, CORTE MADERA, CA 94925-1130
(415) 927-7660
(415) 927-7663
Mailing address
548 COLUMBIA CREEK DR, SAN RAMON, CA 94582-5611
(925) 556-4336
(925) 556-9270

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A94434
CA

Other

Enumeration date
05/22/2013
Last updated
05/22/2013
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