Organization Active NPI

Mehryar Taban MD Inc

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1164726436
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A99093 Issued in CA
Legal business name
MEHRYAR TABAN MD INC
Practice address
9735 Wilshire Blvd.
Suite 204
Beverly Hills, CA 90212
Phone
(310) 278-1836
Fax
(310) 278-1828
NPI assigned
Dec 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mehryar Taban, M.D.
Title
Owner
Phone
(310) 278-1836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A99093 CA Primary

Addresses

Primary practice location

9735 Wilshire Blvd.
Suite 204
Beverly Hills, CA 90212

Mailing address

9735 Wilshire Blvd.
Suite 204
Beverly Hills, CA 90212
Phone (310) 278-1836

National Provider Directory

National Provider Directory

Locations

9735 Wilshire Blvd
Ste 319
Beverly Hills, CA 90212
Phone (310) 278-1836

225 W Pueblo St
#C
Santa Barbara, CA 93105
Phone (310) 278-1836

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1164726436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD.",
            "address_2": "SUITE 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-278-1836",
            "fax_number": "310-278-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD.",
            "address_2": "SUITE 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-278-1836",
            "fax_number": "310-278-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRYAR TABAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "TABAN",
        "authorized_official_first_name": "MEHRYAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-278-1836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A99093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.