Individual
DR. MONA TABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16661 VENTURA BLVD, STE 211, ENCINO, CA 91436
(818) 789-7893
(818) 789-2346
Mailing address
4520 CAMINITO PL, TARZANA, CA 91356-4720
(818) 789-7893
(818) 789-2346
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A402870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A402870
—
CA
Enumeration date
09/07/2006
Last updated
05/18/2020
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