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Individual

DR. JOHN BIBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16449 AKRON ST, PACIFIC PALISADES, CA 90272-2304
(310) 459-3764
Mailing address
16449 AKRON ST, PACIFIC PALISADES, CA 90272-2304
(310) 459-3764

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G21778
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
G21778
CA

Other

Enumeration date
09/07/2005
Last updated
12/11/2013
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