Healthcare Provider Details

I. General information

NPI: 1689599276
Provider Name (Legal Business Name): PRECISION GI LA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 W 3RD ST STE 1015E
LOS ANGELES CA
90048-5913
US

IV. Provider business mailing address

8631 W 3RD ST STE 1015E
LOS ANGELES CA
90048-5913
US

V. Phone/Fax

Practice location:
  • Phone: 310-963-4123
  • Fax: 310-358-2266
Mailing address:
  • Phone: 310-963-4123
  • Fax: 310-358-2266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SIAMAK TABIB
Title or Position: OWNER
Credential: MD
Phone: 310-963-4123