SAM A EBRAHIMI

TARZANA, CA
NPI1114916376
Professional NameSAM AFKHAM-EBRAHIMI
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: CA  A060777)
Additional Taxonomies2086S0129X Surgery, Vascular Surgery
(Licence: DC  MD33806)
2086S0129X Surgery, Vascular Surgery
(Licence: VA  0101233742)
2086S0129X Surgery, Vascular Surgery
(Licence: MD  D0059318)
Enumeration Date2005-10-19
Last Update Date2016-10-23
Business Address
-- SAM A EBRAHIMI MD
18375 VENTURA BLVD SUITE# 404
TARZANA, CA 91356-4218
Phone number: 818-422-5322
Mailing Address
-- SAM A EBRAHIMI MD
18375 VENTURA BLVD SUITE# 404
TARZANA, CA 91356-4218
Phone number: 301-537-7751