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Organization

CALIFORNIA FETAL AND PEDIATRIC CARDIOLOGY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAHNAZ TABIBIAN MD (OWNER)
(310) 866-6579
Entity
Organization

Contact information

Practice address
11625 MONTANA AVE APT 214, LOS ANGELES, CA 90049-4683
(310) 866-6579
(310) 440-8020
Mailing address
11625 MONTANA AVE APT 214, LOS ANGELES, CA 90049-4683

Taxonomy

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

Other

Enumeration date
06/26/2006
Last updated
07/21/2022
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