Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | C54168 | CA |
NPI | 1508856220 |
---|---|
Provider Name | Dr. Sami I Jabara |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90017-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 01/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09607226 | (05) | NM |
141847100 | FIRSTCARE COMMERCIAL (01) | TX |
141847101 | (05) | TX |
171180601 | (05) | TX |
171180602 | (05) | TX |
200046960A | (05) | OK |
87833Z | HMO BLUE (01) | TX |
8G0821 | BC/BS (01) | TX |
91192 | (05) | NM |
91192 | PRESBYTERIAN COMMERCIAL (01) | NM |
A082 | TRIWEST (01) | NM |
H83232 | (02) | TX |