Individual
DR. DAVID GERARD ALIABADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2220 LYNN RD, SUITE 208, THOUSAND OAKS, CA 91360-1904
(805) 494-9494
(805) 496-5631
Mailing address
2220 LYNN RD, SUITE 208, THOUSAND OAKS, CA 91360-1904
(805) 494-9494
(805) 496-5631
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
G69896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G698960
—
CA
01
—
95354702891403B002
TRICARE WEST REGION
CA
01
—
ZZZ94648Z
BLUE SHIELD
CA
Enumeration date
08/11/2005
Last updated
04/18/2008
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