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Individual

MARYAM BITA TABRIZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
COLEMAN PAVILION 11175 CAMPUS STREET ROOM 21111, LOMA LINDA, CA 92350-2783
(095) 584-2869
Mailing address
COLEMAN PAVILION 11175 CAMPUS STREET ROOM 21111, LOMA LINDA, CA 92350-0001
(095) 584-2869

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A124582
CA
2086S0102X
Surgical Critical Care Physician
A124582
CA
2086S0127X
Trauma Surgery Physician
Primary
A124582
CA

Other

Enumeration date
05/30/2008
Last updated
06/29/2023
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