Individual
DR. JOHN VINCENT TIBERI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 PARK TER STE 400, LOS ANGELES, CA 90045-9212
(310) 665-7200
(844) 720-7885
Mailing address
6801 PARK TER STE 400, LOS ANGELES, CA 90045-9212
(310) 665-7200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A107422
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
250199
MA
Other
Enumeration date
08/27/2007
Last updated
12/01/2017
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