Individual
BRIAN ADLTABATABAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5319 UNIVERSITY DR, 219, IRVINE, CA 92612-2965
(877) 200-6705
Mailing address
5319 UNIVERSITY DR, 219, IRVINE, CA 92612-2965
(877) 200-6705
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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