Organization
AMGAD R ELSIBAI MD INC
Active
Organization
AMGAD R ELSIBAI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMGAD R ELSIBAI MD (OWNER PRES)
(310) 621-1332
Entity
Organization
Contact information
Practice address
16055 VENTURA BLVD STE 1000, ENCINO, CA 91436-2611
(310) 621-1332
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(818) 550-0900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A52784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A527841
—
CA
Enumeration date
07/23/2006
Last updated
06/07/2022
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