Organization
THE MATERNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMROOZ H TABIBZADEH M.D. (OWNER)
(818) 909-2229
Entity
Organization
Contact information
Practice address
6618 VAN NUYS BLVD, VAN NUYS, CA 91405-4617
(818) 909-2229
(818) 909-2224
Mailing address
6618 VAN NUYS BLVD, VAN NUYS, CA 91405-4617
(818) 909-2229
(818) 909-2224
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G57734
CA
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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