Individual
ANOOSHEH EBAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-2643
Mailing address
1601 S BENTLEY AVE, APT 402, LOS ANGELES, CA 90025-7575
(415) 602-8404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/12/2015
Last updated
08/17/2015
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