Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A112416 | CA |
Y | 208600000X | Surgeon | A112416 | CA |
NPI | 1013226877 |
---|---|
Provider Name | Dr. Shahin Pourrabbani |
First Address | Lynwood, CA 90262-2661 |
Second Address | Lynwood, CA 90262-2661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2010 |
Last Update Date | 17/03/2018 |