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Individual

HAMID REZA TAHERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16311 VENTURA BLVD, SUITE 1080, ENCINO, CA 91436-2124
(818) 501-6775
Mailing address
16311 VENTURA BOULEVARD, SUITE 1080, ENCINO, CA 91436-4352
(818) 501-6775

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A102906
CA

Other

Enumeration date
03/14/2008
Last updated
03/14/2008
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