Provider Demographics
NPI:1326659335
Name:ZARRABI MD, FACIAL COSMETIC AND MAXILLO-FACIAL SURGERY
Entity Type:Organization
Organization Name:ZARRABI MD, FACIAL COSMETIC AND MAXILLO-FACIAL SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHROUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARRABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-327-9969
Mailing Address - Street 1:2865 E COAST HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-2258
Mailing Address - Country:US
Mailing Address - Phone:949-873-0807
Mailing Address - Fax:
Practice Address - Street 1:2865 E COAST HWY STE 300
Practice Address - Street 2:
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-2258
Practice Address - Country:US
Practice Address - Phone:949-873-0807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZARRABI MD, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical