Provider Demographics
NPI:1629488416
Name:ARBABI, CASSRA NOURI (MD)
Entity Type:Individual
Prefix:DR
First Name:CASSRA
Middle Name:NOURI
Last Name:ARBABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 S SAN VICENTE BLVD STE A3100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3311
Mailing Address - Country:US
Mailing Address - Phone:310-423-2766
Mailing Address - Fax:
Practice Address - Street 1:99 N LA CIENEGA BLVD STE 307
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2283
Practice Address - Country:US
Practice Address - Phone:310-423-7040
Practice Address - Fax:310-423-7041
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA139281208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery