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NPI Code Detail

MEDICARE: ALI SABBAGHI, M.D., INC.

MEDICARE: ALI SABBAGHI, M.D., INC.
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) PhysicianA69120CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578632030
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALI SABBAGHI, M.D., INC.
Provider Business Mailing Address
First Line : 3392 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3712
Country : US
Telephone Number : 310-202-1133
Fax Number :
Provider Business Practice Location Address
First Line : 3392 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3712
Country : US
Telephone Number : 310-202-1133
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ALI M SABBAGH
Credential : M.D.
Telephone Number : 310-202-1133
Provider Enumeration Date : 11/07/2006
Last Update Date : 07/08/2010

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