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Individual

RAMIN TABIBIAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095-3075
(310) 582-6220
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A74833
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A74833
CA
207X00000X
Orthopaedic Surgery Physician
A74833
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A748330
CA
Enumeration date
08/12/2006
Last updated
09/27/2012
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