Provider Demographics
NPI:1700617313
Name:RAHELEH SARBAZIHA MD INC
Entity type:Organization
Organization Name:RAHELEH SARBAZIHA MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAHELEH
Authorized Official - Middle Name:
Authorized Official - Last Name:SARBAZIHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-819-0769
Mailing Address - Street 1:421 N RODEO DR STE S1
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4558
Mailing Address - Country:US
Mailing Address - Phone:310-742-6086
Mailing Address - Fax:
Practice Address - Street 1:421 N RODEO DR STE S1
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4558
Practice Address - Country:US
Practice Address - Phone:310-742-6086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty