OrganizationActive
Eli Tabarai, DMD Dental Corporation, a Professional Dental Corporation
NPI 1194041533 · Oral & Maxillofacial Surgery (D.M.D.) · Los Angeles, CA
Provider details
- NPI number
- 1194041533
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eli Tabariai, Owner/ Doctor(310) 415-3521
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11980 San Vicente Blvd Ste 802
Los Angeles, CA 90049-6606
Phone: (310) 415-3521
Fax: (323) 544-2994
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 24530
Los Angeles, CA 90024-0530
Registry dates
- Enumerated
- 2010-04-09
- Last updated
- 2022-05-18
- Certified
- 2022-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.