Siamak Tabib Md Inc | |
8631 W 3rd St Ste 1015e Los Angeles CA 90048-5925 | |
(310) 652-4472 | |
(310) 358-2266 |
Full Name | Siamak Tabib Md Inc |
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Speciality | Internal Medicine |
Location | 8631 W 3rd St Ste 1015e, Los Angeles, California |
Authorized Official Name and Position | Siamak Tabib (PRESIDENT) |
Authorized Official Contact | 3106524472 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Siamak Tabib Md Inc 8631 W 3rd St Ste 1015e Los Angeles CA 90048-5925 Ph: (310) 652-4472 | Siamak Tabib Md Inc 8631 W 3rd St Ste 1015e Los Angeles CA 90048-5925 Ph: (310) 652-4472 |
NPI Number | 1265635536 |
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Provider Enumeration Date | 06/06/2007 |
Last Update Date | 12/31/2012 |
Medicare PECOS PAC ID | 5991745382 |
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Medicare Enrollment ID | O20050504001237 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265635536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (California) | Primary |
Provider Name | Lidija M Petrovic |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1457326266 PECOS PAC ID: 9234159344 Enrollment ID: I20081205000200 |
Provider Name | Siamak Tabib |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1063555845 PECOS PAC ID: 9537109921 Enrollment ID: I20120614000045 |
Provider Name | Thong T Nguyen |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1528263175 PECOS PAC ID: 3971649369 Enrollment ID: I20221228002457 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |