Individual
ALI TABATABAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, 426, LAGUNA HILLS, CA 92653-3616
(949) 916-7600
Mailing address
23961 CALLE DE LA MAGDALENA, 426, LAGUNA HILLS, CA 92653-3616
(949) 916-7600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G82034
CA
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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