Individual
MR. JAMES HAGOP TABIBIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 WILSON TER STE 300, GLENDALE, CA 91206-4073
(818) 630-8653
Mailing address
1505 WILSON TER STE 300, GLENDALE, CA 91206-4073
(818) 630-8653
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
104918
MN
207RG0100X
Gastroenterology Physician
53489
MN
207RG0100X
Gastroenterology Physician
Primary
A142008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
05/19/2008
Last updated
10/18/2024
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