# TAHANY MAURICE HABASHY M.D. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932368347
- **Authorized official:** TAHANY MAURICE HABASHY M.D (PRESIDENT)
- **Authorized official phone:** (714) 730-0060

## Contact information

- **Practice address:** 222 W MAIN ST, \#102, TUSTIN, CA 92780-7720
- **Practice address phone:** (714) 730-0060
- **Practice address fax:** (714) 730-0061
- **Mailing address:** 222 W MAIN ST, \#102, TUSTIN, CA 92780-7720
- **Mailing address phone:** (714) 730-0060
- **Mailing address fax:** (714) 730-0061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A653380 | — | CA |