Physician Compare National (NPI:1053438622)

HEALTHCARE PROVIDER: KAMRAN CHRISTOPHER RABBANI M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053438622
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759406689
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100916000229
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RABBANI
	Individual professional last name
Provider First Name	KAMRAN
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5363 BALBOA BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 542
	Group Practice or individual's line 2 address
City	ENCINO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913162853
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	053302
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHILDREN'S HOSP OF LOS ANGELES
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050116
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTHRIDGE HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050761
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PROVIDENCE TARZANA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y