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NPI Code Detail

MEDICARE: MR. GEORGES TANBE M.D.

MEDICARE:  MR. GEORGES  TANBE  M.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
1207R00000XInternal Medicine Physician15456NV
2207R00000XInternal Medicine Physician232553MA
3207RI0011XInterventional Cardiology PhysicianC169584CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C169584OTHERCACALIFORNIA MEDICAL LICENSE

General Provider Information

NPI Number : 1679733646
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GEORGES TANBE M.D.
Provider Business Mailing Address
First Line : 4955 VAN NUYS BLVD STE 308
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91403-1811
Country : US
Telephone Number : 818-528-1260
Fax Number : 818-528-1261
Provider Business Practice Location Address
First Line : 4955 VAN NUYS BLVD STE 308
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91403-1811
Country : US
Telephone Number : 818-528-1260
Fax Number : 818-528-1261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2008
Last Update Date : 10/20/2020

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Directions to “ MR. GEORGES TANBE M.D.” Practice Location

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