| Doctor Name: | DR. ATABAK ALLAEI |
| NPI Number: | 1720390420 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A113120 |
| Business Practice Address: | 450 Clarkson Ave Brooklyn, NY - 112032012 |
| Business Phone Number: | 3102738099 |
| Business Fax Number: | |
| Mailing Address: | 9001 Wilshire Blvd Ste 106, BEVERLY HILLS |
| State: | CA |
| Postal Code: | 902111839 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2010 |
| NPI Last Update Date: | 08/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A113120 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |