Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | ME 97240 | FL |
NPI | 1033296587 |
---|---|
Provider Name | Dr. Omid Rabbani |
First Address | Simi Valley, CA 93065-1221 |
Second Address | Simi Valley, CA 93065-1221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 17/10/2013 |