Provider Demographics
NPI:1083692669
Name:KASSABIAN, GARBIS (MD)
Entity Type:Individual
Prefix:DR
First Name:GARBIS
Middle Name:
Last Name:KASSABIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14901 RINALDI ST
Mailing Address - Street 2:SUITE # 305
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-1204
Mailing Address - Country:US
Mailing Address - Phone:818-837-6830
Mailing Address - Fax:818-837-6832
Practice Address - Street 1:14901 RINALDI ST
Practice Address - Street 2:SUITE # 305
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1204
Practice Address - Country:US
Practice Address - Phone:818-837-6830
Practice Address - Fax:818-837-6832
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG79982174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG91602Medicare UPIN