Homayoun Tabandeh
Ophthalmologist
1245 Wilshire Blvd 380
Los Angeles
, California 90017-4810
Homayoun Tabandeh
Ophthalmologist
1245 Wilshire Blvd 380
Los Angeles
, California 90017-4810
(213) 481-1503
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Homayoun Tabandeh
- 1245 Wilshire Blvd 380
- Los Angeles, CA
- Zip : 90017-4810
- Fax : (213) 481-1503
- Phone : (213) 483-8810
Second Address
- Homayoun Tabandeh
- 1245 Wilshire Blvd 380
- Los Angeles, CA
- Zip : 90017-4810
- Fax : (213) 481-1503
- Phone : (213) 483-8810
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Is Homayoun Tabandeh a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | A89087 | CA |
National Provider Identifier
| NPI | 1003861576 |
|---|---|
| Provider Name | Homayoun Tabandeh |
| First Address | Los Angeles, CA 90017-4810 |
| Second Address | Los Angeles, CA 90017-4810 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 08/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A890870 | (05) | CA |
| G76451 | (02) | |
| W3452 | MEDICARE PTAN (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.