Organization
HOOSHANG TABIBIAN MEDICAL CORPORATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOOSHANG TABIBIAN M.D. (OWNER)
(310) 447-6060
Entity
Organization
Contact information
Practice address
11611 SAN VICENTE BLVD, GROUND FLOOR, LOS ANGELES, CA 90049-5106
(310) 447-6060
Mailing address
11611 SAN VICENTE BLVD, GROUND FLOOR, LOS ANGELES, CA 90049-5106
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A40845
CA
Other
Enumeration date
04/11/2011
Last updated
02/20/2012
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