Provider Demographics
NPI:1073673851
Name:MICHAEL ZARRABI MD INC -A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:MICHAEL ZARRABI MD INC -A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARRABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-584-9990
Mailing Address - Street 1:150 S RODEO DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2440
Mailing Address - Country:US
Mailing Address - Phone:310-584-9990
Mailing Address - Fax:310-929-9762
Practice Address - Street 1:150 S RODEO DR STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2440
Practice Address - Country:US
Practice Address - Phone:310-584-9990
Practice Address - Fax:310-929-9762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2023-11-09
Deactivation Date:2010-04-19
Deactivation Code:
Reactivation Date:2011-08-12
Provider Licenses
StateLicense IDTaxonomies
CAA95159208200000X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA95159OtherLICENSE
CAWA95159AMedicare PIN
CAW20233Medicare PIN