Doctor Name: | DR. RAMONA TABIB |
NPI Number: | 1265675615 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A104733 |
Business Practice Address: | 16661 Ventura Blvd Suite 211 Encino, CA - 914361914 |
Business Phone Number: | 8187897893 |
Business Fax Number: | |
Mailing Address: | 264 S La Cienega Blvd, Suite #369 BEVERLY HILLS |
State: | CA |
Postal Code: | 902113302 |
Phone Number: | 8183175017 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2009 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A104733 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |