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Individual

KAMROOZ TABIBZADEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15251 ROSCOE BLVD, PANORAMA CITY, CA 91402-4401
(818) 894-8080
(818) 894-0804
Mailing address
15251 ROSCOE BLVD, PANORAMA CITY, CA 91402-4401
(818) 894-8080
(818) 894-0804

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G57734
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G577340
CA
05
00G577341
CA
Enumeration date
01/10/2007
Last updated
12/10/2008
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