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Hooshang Tabibian, MD
General Practice Physician in Los Angeles, California
NPI 1184840746

Hooshang Tabibian is a General Practice Physician based in Los Angeles, CA. Hooshang Tabibian practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Hooshang Tabibian is 1184840746 and holds a License No. A40845 (California).

The current practice location address for Hooshang Tabibian is 11611 San Vicente Blvd, Los Angeles, CA and can be reached out via phone at 310-447-6060.

Location: 11611 San Vicente Blvd, Los Angeles, CA, 90024-4580
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Provider Profile Details
NPI Number
1184840746
Provider Name
Hooshang Tabibian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11611 San Vicente Blvd, Los Angeles, CA, 90024-4580
Phone Number
310-447-6060
Fax Number
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A408450 05 CA
A40845 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
11611 San Vicente Blvd
City
State
Zip
90049-5106
Phone Number
310-447-6060
Fax Number
person
Provider Business Mailing Address Details
Address
11611 San Vicente Blvd
City
State
Zip
90049-5106
Phone Number
310-447-6060
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A40845 (California)
Definition
Definition to come...
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