Provider Demographics
NPI:1003058769
Name:TORABI, MANDANA (MD)
Entity Type:Individual
Prefix:
First Name:MANDANA
Middle Name:
Last Name:TORABI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9401 WILSHIRE BLVD STE 760
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2946
Mailing Address - Country:US
Mailing Address - Phone:424-343-6496
Mailing Address - Fax:212-523-3642
Practice Address - Street 1:9401 WILSHIRE BLVD STE 760
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2946
Practice Address - Country:US
Practice Address - Phone:424-343-6496
Practice Address - Fax:877-386-4735
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1697102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY267851OtherNY STATE LICENSE NUMBER
CAC169710OtherC169710