Mona Tabib MD Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A40287 Issued in CA

Legal business name

MONA TABIB MD INC

Practice address

16661 Ventura Blvd
Suite 211
Encino, CA 91436-1914

Phone

(818) 789-7893

Fax

(818) 789-2346

NPI assigned

May 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mona Tabib, M.D.

Title

President

Phone

(818) 789-7893

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1003040478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 CAMINITO PL",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564720",
            "telephone_number": "818-789-7893",
            "fax_number": "818-789-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 211",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-789-7893",
            "fax_number": "818-789-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA TABIB MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "TABIB",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-789-7893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A40287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A402870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Anwar Molani, M.D.
• Joseph Molina
• Spencer Molnar
• Reza S Momeni, PHARMACY TECHNICIAN
• Jennifer Mon, PT
• Monarch Recovery Center
• Siamak Monjezi, PHD
• Melvin T. Monsher, M.D.
• Montage Recovery Ca LLC
• Montage Recovery Ca, LLC

• Adult Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.