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General NPI Number Information
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NPI Number | 1073293056
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Entity Type | Organization
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Legal Business Name | ROSTAM KHOUBYARI, M.D., INC.
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 711 W COLLEGE ST STE 540
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City | LOS ANGELES
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State | CA
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Zip | 90012-1246
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Country | US
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Telephone | 213-673-1880
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Fax |
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Provider Business Mailing Address
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Address Line | 15642 SAND CANYON AVE UNIT 53665
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City | IRVINE
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State | CA
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Zip | 92619-5423
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ROSTAM KHOUBYARI
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Credential | MD
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Telephone | 408-373-7040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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