Individual
MILAD GHASEMITABAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 N ROBERTSON BLVD, BEVERLY HILLS, CA 90211-1769
(310) 273-8256
Mailing address
14111 VANCE JACKSON RD APT 10207, SAN ANTONIO, TX 78249-2168
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT297677
CA
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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