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Individual

ALLEN B TABIBIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(310) 423-5252
(310) 423-8441
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A54761
CA
208M00000X
Hospitalist Physician
Primary
A54761
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A547610
CA
Enumeration date
07/25/2006
Last updated
11/08/2024
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