Individual
ELAHEH SAREBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1985 ZONAL AVE, LOS ANGELES, CA 90089-5305
(323) 442-1369
Mailing address
1705 HOPE ST APT 7, SOUTH PASADENA, CA 91030-2780
(858) 568-6512
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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