Provider Demographics
NPI:1033490214
Name:JOUBIN S. GABBAY MD INC
Entity Type:Organization
Organization Name:JOUBIN S. GABBAY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JOUBIN
Authorized Official - Middle Name:SOLOMON
Authorized Official - Last Name:GABBAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-205-9500
Mailing Address - Street 1:435 N ROXBURY DR
Mailing Address - Street 2:STE 100
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5027
Mailing Address - Country:US
Mailing Address - Phone:310-205-9500
Mailing Address - Fax:310-205-9100
Practice Address - Street 1:435 N ROXBURY DR
Practice Address - Street 2:STE 100
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5027
Practice Address - Country:US
Practice Address - Phone:310-205-9500
Practice Address - Fax:310-205-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA846482086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty