Basic Information
| Provider Information | |||||||||
| NPI: | 1366760514 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JABAJI | ||||||||
| FirstName: | ZIYAD | ||||||||
| MiddleName: | BAHIJE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10833 LE CONTE AVE # 72-229 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900951749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108256643 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 77 ROLLING OAKS DR | ||||||||
| Address2: | STE 203 | ||||||||
| City: | THOUSAND OAKS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913611019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8053799696 | ||||||||
| FaxNumber: | 8053799695 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2010 | ||||||||
| LastUpdateDate: | 05/14/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | A114231 | CA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.