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1871156471
IDEEN TABATABAI
LOMA LINDA, CA
NPI
1871156471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CO DR.0069624)
Enumeration Date
2019-04-18
Last Update Date
2023-04-14
Business Address
IDEEN TABATABAI MD
11234 ANDERSON STREET GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4174
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Mailing Address
IDEEN TABATABAI MD
13123 E 16TH AVE # B265
AURORA, CO 80045-7106
Phone number:
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