Provider Demographics
NPI:1013097088
Name:TOOR, SABENA (MD)
Entity Type:Individual
Prefix:
First Name:SABENA
Middle Name:
Last Name:TOOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8635 W 3RD ST STE 355W
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-6112
Mailing Address - Country:US
Mailing Address - Phone:310-967-3075
Mailing Address - Fax:310-652-9133
Practice Address - Street 1:8635 W 3RD ST STE 355W
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-6112
Practice Address - Country:US
Practice Address - Phone:310-967-3075
Practice Address - Fax:310-652-9133
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71637207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
G07958Medicare UPIN
G71637Medicare ID - Type Unspecified