Khashayar Mohebali MD a Medical Corporation

NPI #1881030484 in Corte Madera, California

Provider Information

NPI Number: 1881030484
Entity Type: Organization
Organization Name: Khashayar Mohebali MD a Medical Corporation
Primary Specialty: Plastic Surgery
Enumeration Date: May 22, 2013
Last Updated: May 22, 2013

Practice Location

Address: 21 TAMAL VISTA BLVD
Address 2: SUITE 103
City: Corte Madera
State: California
ZIP Code: 94925-1130
Phone: (415) 927-7660

Authorized Official

Name: DR. KHASHAYAR MOHEBALI, MD
Title: PRESIDENT
Phone: (415) 412-4921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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