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Individual

DR. MAHNAZ TABIBIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10833 LECONT AVE, DEPARTMENT OF PEDIATRICS, LOS ANGELES, CA 90095-1752
(310) 825-7148
Mailing address
PO BOX 49655, LOS ANGELES, CA 90049-1502
(310) 866-6579

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
A69190
CA

Other

Enumeration date
12/29/2005
Last updated
07/08/2007
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