Individual
DR. JAMES EUGENE TIBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 PARK TERRACE, 100 & 400, LOS ANGELES, CA 90045
(310) 665-7200
(310) 665-7245
Mailing address
6801 PARK TER, LOS ANGELES, CA 90045-1543
(310) 665-7200
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G27027
CA
Other
Enumeration date
12/14/2005
Last updated
02/17/2021
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