Healthcare Provider Details

I. General information

NPI: 1649288416
Provider Name (Legal Business Name): GABRIEL VOROBIOF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16550 VENTURA BLVD STE 122
ENCINO CA
91436-2059
US

IV. Provider business mailing address

22287 MULHOLLAND HWY # 613
CALABASAS CA
91302-5157
US

V. Phone/Fax

Practice location:
  • Phone: 818-925-2480
  • Fax: 818-925-2482
Mailing address:
  • Phone: 818-308-4223
  • Fax: 818-925-2482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number046843
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: