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NPI Code Detail

MEDICARE: AMIR HOSSEIN TABATABAI PHARM.D.

MEDICARE:   AMIR HOSSEIN TABATABAI  PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P2201XAmbulatory Care Pharmacist61274CA

General Provider Information

NPI Number : 1497398168
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIR HOSSEIN TABATABAI PHARM.D.
Provider Business Mailing Address
First Line : 23600 TELO AVE STE 155
Second Line :
City : TORRANCE
State : CA
Zip : 90505-4005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23600 TELO AVE STE 155
Second Line :
City : TORRANCE
State : CA
Zip : 90505-4005
Country : US
Telephone Number : 424-250-1701
Fax Number : 424-250-1704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2019
Last Update Date : 10/24/2019

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Directions to “ AMIR HOSSEIN TABATABAI PHARM.D.” Practice Location

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