Healthcare Provider Details

I. General information

NPI: 1710175229
Provider Name (Legal Business Name): SABIRA TEJANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2007
Last Update Date: 08/24/2021
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 KATELLA AVE STE 115
LOS ALAMITOS CA
90720-3359
US

IV. Provider business mailing address

711 PEPPER TREE LN
LONG BEACH CA
90815-4731
US

V. Phone/Fax

Practice location:
  • Phone: 562-493-1460
  • Fax: 562-420-9092
Mailing address:
  • Phone: 562-209-1342
  • Fax: 562-598-9390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA31513
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: