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General NPI Number Information
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NPI Number | 1518137504
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Entity Type | Organization
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Legal Business Name | M RAHBAR MD INC
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 17742 BEACH BLVD STE 244
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6835
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Country | US
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Telephone | 714-847-3666
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Fax | 714-847-7171
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Provider Business Mailing Address
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Address Line | 17742 BEACH BLVD STE 244
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6835
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Country | US
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Telephone | 714-847-3666
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Fax | 714-847-7171
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. MARYAM RAHBAR
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Credential | MD
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Telephone | 714-847-3666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A80577
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License Number State | CA
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