Individual
JOHN TAKYEH CHALABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095
(310) 825-9111
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A95097
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A95097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A950970
—
CA
01
—
A95097
LICENSE
CA
Enumeration date
04/11/2007
Last updated
07/17/2019
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