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MONA TABIB MD INC NPI 1003040478


NPI Information

NPI: 1003040478
Provider Name: MONA TABIB MD INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
16661 VENTURA BLVD
SUITE 211
ENCINO, CA
ZIP 91436
Phone: (818) 789-7893
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MONA TABIB MD INC is an adult medicine family medicine in Encino, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. MONA TABIB MD INC NPI is 1003040478. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16661 VENTURA BLVD
SUITE 211
ENCINO, CA
ZIP 91436-914
Phone: (818) 789-7893
Fax: (818) 789-2346

The provider's authorized official is Mona Tabib .
The authorized official title is President and has the following contact phone number (818) 789-7893.

The enumeration date for this NPI number is 5/13/2009 and was last updated on 5/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineA40287CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A402870MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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