Individual
MARYAM RAHBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17822 BEACH BLVD STE 152, HUNTINGTON BEACH, CA 92647-7114
(714) 847-3666
(714) 847-7171
Mailing address
PO BOX 11869, NEWPORT BEACH, CA 92658-5044
(714) 863-8567
(714) 847-7171
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A80577
CA
208VP0014X
Interventional Pain Medicine Physician
A80577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-463-8987
ECFMG
CA
01
—
A80577
STATE LICENSE
CA
Enumeration date
12/18/2006
Last updated
06/26/2025
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