Individual
DARYUSH KEVIN TABATABAI ASL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7901 FROST ST, SAN DIEGO, CA 92123-2701
(619) 206-4912
Mailing address
4481 51ST ST, SAN DIEGO, CA 92115-4707
(619) 206-4912
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
76784
CA
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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