MEDICARE: M RAHBAR MD INC

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	A80577	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0-463-898-7	OTHER	CA	ECFMG
2	A80577	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1518137504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M RAHBAR MD INC

Provider Business Mailing Address
First Line	:	17742 BEACH BLVD STE 244
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-6835
Country	:	US
Telephone Number	:	714-847-3666
Fax Number	:	714-847-7171

Provider Business Practice Location Address
First Line	:	17742 BEACH BLVD STE 244
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-6835
Country	:	US
Telephone Number	:	714-847-3666
Fax Number	:	714-847-7171

Authorized Official
Title or Position	:	MEDICAL DIRECTOR/OWNER
Name	:	DR. MARYAM RAHBAR
Credential	:	MD
Telephone Number	:	714-847-3666

Provider Enumeration Date	:	03/05/2008
Last Update Date	:	08/18/2025

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Directions to “M RAHBAR MD INC ” Practice Location

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