Individual
AMGAD R. ELSIBAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(310) 471-5852
(310) 471-3958
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A52784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A527840
—
CA
Enumeration date
07/23/2006
Last updated
05/20/2008
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