Individual
MINH-DIEM TABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13512 CARNABY ST, CERRITOS, CA 90703-8906
(562) 716-5988
Mailing address
13512 CARNABY ST, CERRITOS, CA 90703-8906
(562) 716-5988
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA4484
CA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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