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Organization
PARICHEHR TABIBIAN, MD, A PROFESSIONAL CORPORATION
Active
Organization
PARICHEHR TABIBIAN, MD, A PROFESSIONAL CORPORATION
Active
Other names
Blue Lotus Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARICHEHR TABIBIAN MD (PRESIDENT & CEO)
(818) 481-1417
Entity
Organization
Contact information
Practice address
20315 VENTURA BLVD STE 315A, WOODLAND HILLS, CA 91364-2449
(818) 481-1417
(505) 210-7275
Mailing address
4959 DOMAN AVE, TARZANA, CA 91356-4311
(818) 481-1417
(505) 210-7275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
12/09/2019
Last updated
04/20/2023
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