institution
Maryam Rahbar, Md, Inc.
Pain Clinic/Center in Huntington Beach, California
NPI 1245393602

Maryam Rahbar, Md, Inc. is a Pain Clinic/Center based in Newport Beach, CA and is specialized in Pain. Maryam Rahbar, Md, Inc. practices in Huntington Beach, CA. The NPI Number for Maryam Rahbar, Md, Inc. is 1245393602 and holds a License No. AAAHC 77516 (California).

The current practice location address for Maryam Rahbar, Md, Inc. is 17822 Beach Blvd Ste 101, Huntington Beach, CA and can be reached out via phone at 714-847-3666 and via fax at 714-847-7171. You can also correspond with Maryam Rahbar, Md, Inc. through the mailing address at PO BOX 11869, NEWPORT BEACH, CA - 92658-5044 (mailing address contact number: 714-847-3666).

Location: 17822 Beach Blvd Ste 101, Huntington Beach, CA, 92658-5044
institution
Provider Profile Details
NPI Number
1245393602
Provider Name
Maryam Rahbar, Md, Inc.
Credential
Provider Entity Type
Organization
Address
17822 Beach Blvd Ste 101, Huntington Beach, CA, 92658-5044
Phone Number
714-847-3666
Fax Number
714-847-7171
Provider Enumeration Date
12/18/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05D1073514 01 CA CLIA
A267838 01 CA CITY BUSINESS LICENSE
77516 01 CA AAAHC ACCREDITATION
FNP36985 01 CA FICTITIOUS NAME PERMIT
institution
Provider Business Practice Location Address Details
Address
17822 Beach Blvd Ste 101
City
State
Zip
92647-7179
Phone Number
714-847-3666
Fax Number
714-847-7171
person
Provider Business Mailing Address Details
Address
17822 Beach Blvd Ste 101
City
State
Zip
92647-7179
Phone Number
714-847-3666
Fax Number
714-847-7171
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
A2677838 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
License No.
AAAHC 77516 (California)
Definition
Definition to come...
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