HOOSHANG TABIBIAN MEDICAL CORPORATION, INC. (NPI# 1205126224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205126224 |
| Entity Type | Organization |
| Organization Name | HOOSHANG TABIBIAN MEDICAL CORPORATION, INC. |
| Practice Address |
11611 San Vicente Blvd Ground Floor Los Angeles CA 90049-5106 |
| Practice Telephone | 3104476060 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2012-02-20 |
| Authorized Official Name | HOOSHANG TABIBIAN (OWNER) |
| Authorized Official Telephone | 3104476060 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | A40845 | CA | Other Service Providers |
| Street Address |
11611 SAN VICENTE BLVD GROUND FLOOR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568572618 | Maurice Darvish | Specialist | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2006-08-30 |
| 1386267896 | Tawney Freeman | Physician Assistant | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2020-05-19 |
| 1497399109 | Corey Lin | Physical Therapist | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2019-11-05 |
| 1316417363 | Tony C Dang | Physical Therapist | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2018-12-03 |
| 1861920258 | Haley O'neel Cutting | Physician Assistant | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2017-05-30 |
| 1831553734 | Guita Cohen | Chiropractor | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2016-04-07 |
| 1912368358 | Bvm Therapy Inc. | Clinic/Center | 11611 San Vicente Blvd, #gf1, Los Angeles, CA 90049-5106 | 2016-03-13 |
| 1588021158 | Caligenix PC | Clinic/Center | 11611 San Vicente Blvd, Ste L1, Los Angeles, CA 90049-5106 | 2016-01-27 |
| 1811370349 | Azita Zavari | Dental Hygienist | 11611 San Vicente Blvd, Suite L-1, Los Angeles, CA 90049 | 2015-07-01 |
| 1003238346 | Vision To Learn | Optometrist | 11611 San Vicente Blvd, Suite 500, Los Angeles, CA 90049-5106 | 2014-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609056639 | La Fe Medical Group | Legal Medicine | 3000 East 1st Street, Los Angeles, CA 90063-2807 | 2007-11-07 |
| 1306050463 | San Gabriel Physicians Specialty Medical Group | Legal Medicine | 2411 Daly Street, Los Angeles, CA 90031 | 2007-05-09 |
| 1174737142 | Maan M Kattash | Legal Medicine | 9201 W Sunset Blvd Ste 406, Los Angeles, CA 90069-3705 | 2007-05-09 |
| 1386792620 | Thomas Marten Shery | Legal Medicine | 11645 Wilshire Blvd Ste 800, Los Angeles, CA 90025-6811 | 2007-01-05 |
| 1104984137 | Beth Medical Clinic | Legal Medicine | 11126 S Main St, Los Angeles, CA 90061-1926 | 2006-12-04 |
| 1598771834 | Simon K Simonian | Legal Medicine | 7080 Hollywood Blvd Ste 919, Los Angeles, CA 90028-6936 | 2006-07-31 |
| 1528678588 | Edward A Alexander,md | Legal Medicine | 10940 Wilshire Blvd, Los Angeles, CA 90024-3915 | 2020-08-05 |
| 1104219609 | Total Care Medical Clinic Inc | Legal Medicine | 10024 S Vermont Ave, Los Angeles, CA 90044-3112 | 2015-03-09 |
| 1023360039 | Med-x Drug & Alcohol Testing Services | Legal Medicine | 11645 Wilshire Blvd, Suite 825, Los Angeles, CA 90025-1708 | 2012-10-15 |
| 1760797740 | Amir Alex Tahbaz | Legal Medicine | 1200 N State St, Los Angeles, CA 90033-1029 | 2010-08-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.