Siamak Tabib MD INC
Internal Medicine, Gastroenterology in Los Angeles, CA. Organization (NPI-2).
Details
- NPI
- 1265635536
- Entity type
- Organization (NPI-2)
- Legal business name
- Siamak Tabib MD INC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2007
- Last updated
- Dec 31, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | CA | Yes |
Practice location
8631 W 3rd St Ste 1015eLos Angeles, CA 90048-5925
Phone 310-652-4472 · Fax 310-358-2266
Mailing address
8631 W 3rd St Ste 1015eLos Angeles, CA 90048-5925
Phone 310-652-4472 · Fax 310-358-2266
Authorized official
Siamak Tabib
President
3106524472
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