Individual
DR. KHOSROW TABADDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3392 MOTOR AVE, LOS ANGELES, CA 90034-3712
(310) 202-1133
Mailing address
3392 MOTOR AVE, LOS ANGELES, CA 90034-3712
(310) 202-1133
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A40537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A40537
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
09/10/2008
Last updated
07/07/2009
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