| Organization Name: | EBRAHIMIAN & EBRAHIMIAN INC |
| NPI Number: | 1548535123 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAX EBRAHIMIAN (OWNER) |
| Mailing Address: | 5 Erba Ln Ste A Scotts Valley |
| State: | CA US |
| Postal Code: | 950664160 |
| Phone Number: | 8314384411 |
| Fax Number: | 8314381323 |
| NPI Enumeration Date: | 03/15/2012 |
| NPI Last Update Date: | 03/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 28543 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |