Organization
ALFRED RAHBAN,M.D. A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED RAHBAN MD (CEO)
(310) 553-3669
Entity
Organization
Contact information
Practice address
5901 W OLYMPIC BLVD, SUITE 307, LOS ANGELES, CA 90036-4667
(323) 939-3669
(323) 798-1786
Mailing address
5901 W OLYMPIC BLVD, SUITE 307, LOS ANGELES, CA 90036-4667
(323) 939-3669
(323) 798-1786
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A51095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992981971
—
CA
Enumeration date
01/21/2008
Last updated
02/02/2012
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