Individual
KHALIL M TABSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLAZA, SUITE 430, LOS ANGELES, CA 90095-0001
(310) 794-7274
Mailing address
200 UCLA MEDICAL PLAZA, SUITE 430, LOS ANGELES, CA 90095
(310) 208-4492
(310) 267-0265
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
C37937
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C379370
—
CA
Enumeration date
07/06/2006
Last updated
01/13/2012
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