Organization
LEILA K. JABAJI, M.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY ANN MARTINEZ (OFFICE MANAGER)
(909) 861-1888
Entity
Organization
Contact information
Practice address
750 N DIAMOND BAR BLVD STE 103, DIAMOND BAR, CA 91765-1023
(909) 861-1888
(909) 861-1077
Mailing address
750 N DIAMOND BAR BLVD STE 103, DIAMOND BAR, CA 91765-1023
(909) 861-1888
(909) 861-1077
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
C40179
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447360888
INDIVIDUAL NPI
CA
Enumeration date
03/22/2007
Last updated
08/22/2020
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