Provider Demographics
NPI:1881655462
Name:ARBABI, NASRIN
Entity Type:Individual
Prefix:
First Name:NASRIN
Middle Name:
Last Name:ARBABI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5688 DESERT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-7238
Mailing Address - Country:US
Mailing Address - Phone:619-507-4685
Mailing Address - Fax:619-524-0086
Practice Address - Street 1:5688 DESERT VIEW DR
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-7238
Practice Address - Country:US
Practice Address - Phone:619-507-4685
Practice Address - Fax:619-524-0086
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA062748207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine