Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 53060 | CA |
NPI | 1013148246 |
---|---|
Provider Name | Dr. Gabriella M Tehrany |
First Address | Los Angeles, CA 90028-8839 |
Second Address | Los Angeles, CA 90028-8839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2009 |
Last Update Date | 13/12/2021 |