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General NPI Number Information
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NPI Number | 1740208362
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Entity Type | Organization
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Legal Business Name | RAHBAR MEDICAL GROUP, INC., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E SUITE 1804
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-553-4400
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Fax | 310-553-5590
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Provider Business Mailing Address
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Address Line | 2080 CENTURY PARK E SUITE 1804
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-553-4400
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Fax | 310-553-5590
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. FARSHID SAM RAHBAR
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Credential | M.D., FACP
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Telephone | 310-553-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A38265
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License Number State | CA
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