Provider Demographics
NPI:1285646687
Name:ZARRABI, MIRALI (MD)
Entity type:Individual
Prefix:
First Name:MIRALI
Middle Name:
Last Name:ZARRABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9601 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 1170
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5213
Mailing Address - Country:US
Mailing Address - Phone:310-642-7774
Mailing Address - Fax:310-868-0444
Practice Address - Street 1:5901 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 508
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4667
Practice Address - Country:US
Practice Address - Phone:310-642-7774
Practice Address - Fax:310-868-0444
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2011-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA064722207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A647220Medicaid
CA00A647220Medicaid
CABR302ZMedicare PIN