Provider Demographics
NPI:1841644366
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:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OJEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-367-2573
Mailing Address - Street 1:9663 SANTA MONICA BLVD # 154
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4303
Mailing Address - Country:US
Mailing Address - Phone:310-367-2573
Mailing Address - Fax:877-239-0994
Practice Address - Street 1:9663 SANTA MONICA BLVD # 154
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4303
Practice Address - Country:US
Practice Address - Phone:310-367-2573
Practice Address - Fax:877-239-0994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84648208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty