| Sohail Sam Mahboubian, M.d. A Professional Corporation | |
|
16133 Ventura Blvd Ste 415 Encino CA 91436-2429 | |
| (818) 379-9991 | |
| (818) 995-0208 |
| Full Name | Sohail Sam Mahboubian, M.d. A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 16133 Ventura Blvd Ste 415, Encino, California |
| Authorized Official Name and Position | Sohail Sam Mahboubian (PRESIDENT) |
| Authorized Official Contact | 8183799991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sohail Sam Mahboubian, M.d. A Professional Corporation 16133 Ventura Blvd Suite #415 Encino CA 91436-2403 Ph: (818) 379-9991 | Sohail Sam Mahboubian, M.d. A Professional Corporation 16133 Ventura Blvd Ste 415 Encino CA 91436-2429 Ph: (818) 379-9991 |
| NPI Number | 1578743647 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578743647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A069412 (California) | Primary |
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