Minh-Diem Tabon

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTA4484 Issued in CA

Practice address

13512 Carnaby St
Cerritos, CA 90703-8906

Phone

(562) 716-5988

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1992320121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13512 CARNABY ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038906",
            "telephone_number": "562-716-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13512 CARNABY ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038906",
            "telephone_number": "562-716-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABON",
        "first_name": "MINH-DIEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PTA4484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca Francis Swift, SUBSTANCE ABUSE COUN
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• Jenny Tai, D.O.
• Carin Lynn Taira
• Lindsey Seko Takata, PHARM. D, MBA
• Craig Yoshio Takeshita, DDS
• Tetsuro Takumi

• Physical Medicine & Rehabilitation Physician in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.