Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A108941 | CA |
NPI | 1093973760 |
---|---|
Provider Name | Mohsen Tabrizi |
First Address | Long Beach, CA 90805 |
Second Address | Long Beach, CA 90805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 18/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
29034248 | (05) | NM |