# MAURICE S. HABER, M.D. A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MAURICE S. HABER, M.D.
- **Other names:** A Medical Corporation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871758367
- **Legal business name:** MAURICE S. HABER, M.D.
- **Authorized official:** MAURICE S. HABER M.D. (M.D.)
- **Authorized official phone:** (818) 766-5231

## Contact information

- **Practice address:** 12626 RIVERSIDE DR, \#506, VALLEY VILLAGE, CA 91607-3420
- **Practice address phone:** (818) 766-5231
- **Practice address fax:** (818) 766-9083
- **Mailing address:** 12626 RIVERSIDE DR STE 506, VALLEY VILLAGE, CA 91607-3461
- **Mailing address phone:** (818) 766-5231
- **Mailing address fax:** (818) 766-9083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A28340 | CA | Yes |

## Other

- **Enumeration date:** 07/23/2008
- **Last updated:** 07/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A283400 | — | CA |