Provider Demographics
NPI:1568623635
Name:KABBANY, VICTOR JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:JOSEPH
Last Name:KABBANY
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 1:18521 AMALIA LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-6834
Mailing Address - Country:US
Mailing Address - Phone:562-676-8822
Mailing Address - Fax:
Practice Address - Street 1:10941 BLOOMFIELD ST STE A
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-6702
Practice Address - Country:US
Practice Address - Phone:562-596-1667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-21
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA103370207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine