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Mona Tabib Md Inc
Adult Medicine Physician in Encino, California
NPI 1003040478

Mona Tabib Md Inc is an Adult Medicine Physician based in Tarzana, CA and is specialized in Adult Medicine. Mona Tabib Md Inc practices in Encino, CA. The NPI Number for Mona Tabib Md Inc is 1003040478 and holds a License No. A40287 (California).

The current practice location address for Mona Tabib Md Inc is 16661 Ventura Blvd, Encino, CA and can be reached out via phone at 818-789-7893 and via fax at 818-789-2346.

Location: 16661 Ventura Blvd, Encino, CA, 91356-4720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003040478
Provider Name
Mona Tabib Md Inc
Credential
Provider Entity Type
Organization
Address
16661 Ventura Blvd, Encino, CA, 91356-4720
Phone Number
818-789-7893
Fax Number
818-789-2346
Provider Enumeration Date
05/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A402870 05 CA
institution
Provider Business Practice Location Address Details
Address
16661 Ventura Blvd
City
Encino
State
California
Zip
91436-1914
Phone Number
818-789-7893
Fax Number
818-789-2346
person
Provider Business Mailing Address Details
Address
16661 Ventura Blvd
City
Encino
State
California
Zip
91436-1914
Phone Number
818-789-7893
Fax Number
818-789-2346
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
A40287 (California)
Definition
Definition to come.
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