Provider Demographics
NPI:1578699112
Name:MOJDEH TALEBIAN, M.D., INC.
Entity Type:Organization
Organization Name:MOJDEH TALEBIAN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:MOJDEH
Authorized Official - Middle Name:
Authorized Official - Last Name:TALEBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-216-9000
Mailing Address - Street 1:2950 WHIPPLE AVE
Mailing Address - Street 2:4
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-2850
Mailing Address - Country:US
Mailing Address - Phone:650-365-1157
Mailing Address - Fax:
Practice Address - Street 1:2950 WHIPPLE AVE
Practice Address - Street 2:4
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-2850
Practice Address - Country:US
Practice Address - Phone:650-365-1157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG90993Medicare UPIN
CAZZZ0825ZMedicare ID - Type Unspecified