Individual
DR. FAIROOZ KABBINAVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10945 LE CONTE AVE, SUITE # 2338 J / PVUB 957187, LOS ANGELES, CA 90095-3000
(310) 206-3921
(310) 267-0151
Mailing address
10945 LE CONTE AVE, SUITE # 2338 J / PVUB 957187, LOS ANGELES, CA 90095-3000
(310) 206-3921
(310) 267-0151
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A 45968
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A459680
—
CA
Enumeration date
12/13/2005
Last updated
12/21/2009
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