Organization
TANNAZ EBRAHIMI ADIB, MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANNAZ EBRAHIMI ADIB M.D. (PRESIDENT)
(404) 488-6364
Entity
Organization
Contact information
Practice address
3927 WARING RD STE D, OCEANSIDE, CA 92056-4458
(760) 990-7585
(951) 750-5089
Mailing address
3927 WARING RD STE D, OCEANSIDE, CA 92056-4458
(760) 990-7585
(951) 750-5089
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A121761
CA
Other
Enumeration date
03/31/2017
Last updated
01/01/2019
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