Individual
HOSSEIN TABRIZIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8010 FROST ST STE 510, SAN DIEGO, CA 92123-4284
(858) 637-4700
(858) 637-4701
Mailing address
9610 GRANITE RIDGE DR STE B, SAN DIEGO, CA 92123-2684
(858) 810-8000
(858) 346-1024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A78291
CA
174400000X
Specialist
MD038954
DC
207RN0300X
Nephrology Physician
Primary
A78291
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A782910
—
CA
01
—
A78291
CA LICENSE
CA
Enumeration date
11/01/2006
Last updated
04/30/2018
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