Individual
BRIAN T TABILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 EUCLID AVE STE 301, NATIONAL CITY, CA 91950-2972
(619) 472-4900
(619) 472-4910
Mailing address
655 EUCLID AVE STE 301, NATIONAL CITY, CA 91950-2972
(619) 472-4900
(619) 472-4910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A96984
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A96984
CA
207RP1001X
Pulmonary Disease Physician
A96984
CA
Other
Enumeration date
09/19/2007
Last updated
03/03/2025
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