Leila K. Jabaji, M.D

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

C40179 Issued in CA

Legal business name

LEILA K. JABAJI, M.D

Practice address

750 N Diamond Bar Blvd Ste 103
Diamond Bar, CA 91765-1023

Phone

(909) 861-1888

Fax

(909) 861-1077

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Miss Mary Ann Martinez

Title

Office Manager

Phone

(909) 861-1888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leila Khoury Jabaji, M.D

  • Specialist
  • Diamond Bar, CA
  • NPI 1447360888
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801913355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N DIAMOND BAR BLVD STE 103",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651023",
            "telephone_number": "909-861-1888",
            "fax_number": "909-861-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N DIAMOND BAR BLVD STE 103",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651023",
            "telephone_number": "909-861-1888",
            "fax_number": "909-861-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEILA K. JABAJI, M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-861-1888",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "C40179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1447360888",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Lee, OTR/L
• Steven K Lee, D.C.
• Sue Yun Lee, D.D.S.
• Sung Kyu Lee, D.D.S.
• Wunghee Christina Lee, DPT
• Justin Leiter-McBeth, PHD
• CHI Lok Leung, PHARMD
• Vikki Hoi-Ki Leung, NP
• Dennis Lew, RPH
• Steven F Lew, PHARMD

• Exclusive Provider Organization in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.