MEDICARE: ROOHBAKHSH MAHER DPM

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	213E00000X	Podiatrist	E40240	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000E40240	OTHER	CA	MEDICAL
2	200717977	OTHER	CA	HEALTHNET
3	200717977	OTHER	CA	BLUE CROSS OF CALIFORNIA
4	200717977	OTHER	CA	AARP
5	200717977	OTHER	CA	MOTION PICTURE INDUSTRY
6	200717977	OTHER	CA	EMPLOYEE HEALTH SYSTEMS
7	200717977	OTHER	CA	PACIFICARE
8	200717977	OTHER	CA	AETNA
9	200717977	OTHER	CA	UNITED HEALTHCARE
10	200717977	OTHER	CA	BLUE SHIELD OF CALIFORNIA
11	200717977	OTHER	CA	MEDPOINT MANAGEMENT
12	200717977	OTHER	CA	TRICARE
13	200717977	OTHER	CA	UHP HEALTHCARE
14	200717977	OTHER	CA	CIGNA
15	200717977	OTHER	CA	LA VIDA MEDICAL GROUP IPA

General Provider Information

NPI Number	:	1275581357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROOHBAKHSH MAHER DPM

Provider Business Mailing Address
First Line	:	2850 ARTESIA BLVD
Second Line	:	SUITE 204
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-3419
Country	:	US
Telephone Number	:	310-214-9700
Fax Number	:	310-214-9790

Provider Business Practice Location Address
First Line	:	2850 ARTESIA BLVD.
Second Line	:	SUITE 204
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-3417
Country	:	US
Telephone Number	:	310-214-9700
Fax Number	:	310-214-9790

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	03/09/2012

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Directions to “ ROOHBAKHSH MAHER DPM” Practice Location

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