MEDICARE: DR. SHEILA S NAZARIAN MOBIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	A97647	CA

General Provider Information

NPI Number	:	1114197589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEILA S NAZARIAN MOBIN M.D.

Provider Business Mailing Address
First Line	:	120 S. SPALDING DR #315
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212
Country	:	US
Telephone Number	:	310-659-0500
Fax Number	:	310-388-1002

Provider Business Practice Location Address
First Line	:	10445 WILSHIRE BLVD
Second Line	:	#1903
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4634
Country	:	US
Telephone Number	:	310-621-1326
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2008
Last Update Date	:	11/16/2021

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