Healthcare Provider Details

I. General information

NPI: 1285646687
Provider Name (Legal Business Name): MIRALI ZARRABI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 442
BEVERLY HILLS CA
90213-0442
US

IV. Provider business mailing address

PO BOX 442
BEVERLY HILLS CA
90213-0442
US

V. Phone/Fax

Practice location:
  • Phone: 310-642-7774
  • Fax: 310-582-5975
Mailing address:
  • Phone: 310-642-7774
  • Fax: 310-582-5975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA064722
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA064722
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: