SHAHAB MAHBOUBIAN, DO, INC. (NPI# 1033467428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033467428 |
Entity Type | Organization |
Organization Name | SHAHAB MAHBOUBIAN, DO, INC. |
Practice Address |
10640 Riverside Dr North Hollywood CA 91602-2319 |
Practice Telephone | 8187556500 |
Practice Fax Number | 8187558904 |
Mailing Telephone | 8187556500 |
Mailing Fax Number | 8187558904 |
Enumeration Date | 2012-08-16 |
Last Update Date | 2012-08-16 |
Authorized Official Name | SHAHAB MAHBOUBIAN (PRESIDENT) |
Authorized Official Telephone | 8182096528 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 20A10721 | CA | Other Service Providers |
Street Address |
10640 RIVERSIDE DR |
City | NORTH HOLLYWOOD |
State | CA |
Zip Code | 91602-2319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861595829 | Behrooz Broukhim | Orthopaedic Surgery | 10640 Riverside Dr, North Hollywood, CA 91602 | 2006-09-06 |
1982063509 | Tigran Garabekyan, Md Corporation | Clinic/Center | 10640 Riverside Dr, North Hollywood, CA 91602-2319 | 2016-02-11 |
1194155648 | Behrooz Broukhim, Md, Inc. | Specialist | 10640 Riverside Dr, North Hollywood, CA 91602-2319 | 2013-11-20 |
1518134543 | John A.g. Villanueva | Physical Medicine & Rehabilitation | 10640 Riverside Dr, North Hollywood, CA 91602-2319 | 2008-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
Find all providers in zip 91602 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124572821 | Jessica Clark | Specialist | 5664 Cahuenga Blvd, North Hollywood, CA 91601-2103 | 2016-08-10 |
1114226073 | First Choice Orthopaedics & Spine Institute | Specialist | 6801 North Coldwater Canyon Blvd., #1e, North Hollywood, CA 91605 | 2011-03-17 |
1124350129 | Noho Medical Group Inc | Specialist | 11490 Burbank Blvd Ste 1c, North Hollywood, CA 91601-2391 | 2010-02-02 |
1043542186 | Ellen Roth Chapman | Specialist | 6400 Laurel Canyon Blvd Ste 600, North Hollywood, CA 91606-1568 | 2010-01-30 |
1760537120 | James W Dryden | Specialist | 10711 Riverside Dr, North Hollywood, CA 91602-2312 | 2007-01-24 |
1447655188 | Mohsen Safaie Pt Inc. | Specialist | 11650 Riverside Dr, 2nd Floor, North Hollywood, CA 91602-1093 | 2014-10-23 |
1891198586 | Valeria Esparza | Specialist | 6400 Laurel Canyon Blvd, Suite 560, North Hollywood, CA 91606-1571 | 2014-10-08 |
1194155648 | Behrooz Broukhim, Md, Inc. | Specialist | 10640 Riverside Dr, North Hollywood, CA 91602-2319 | 2013-11-20 |
1689013492 | Katheryn May Reeves | Specialist | 6400 Laurel Canyon Blvd, Suite 560, North Hollywood, CA 91606-1571 | 2013-06-14 |
1023456522 | Tiffany Ellen Manzini | Specialist | 6400 Laurel Canyon Blvd, Suite 560, North Hollywood, CA 91606-1571 | 2013-06-06 |
Find all providers in NORTH HOLLYWOOD |
City | NORTH HOLLYWOOD |
Zip Code | 91602 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.