Individual
DR. BAHRAM TABIBIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1762 WESTWOOD BLVD, SUITE 300, LOS ANGELES, CA 90024-5632
(310) 441-2000
(310) 441-2020
Mailing address
1762 WESTWOOD BLVD, SUITE 300, LOS ANGELES, CA 90024-5632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A40033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A400330
—
CA
Enumeration date
12/12/2007
Last updated
12/12/2007
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