Ata Mazaheri MD Inc.

NPI #1134430606 in Glendale, California

Provider Information

NPI Number: 1134430606
Entity Type: Organization
Organization Name: Ata Mazaheri MD Inc.
Primary Specialty: Surgery
Enumeration Date: Jun 29, 2010
Last Updated: Jun 29, 2010

Practice Location

Address: 1560 E CHEVY CHASE DR
Address 2: SUITE #450
City: Glendale
State: California
ZIP Code: 91206-4197
Phone: (818) 246-3300

Authorized Official

Name: DR. ATA MAZAHERI, MD
Title: PRESIDENT
Phone: (818) 246-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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