Provider Demographics
NPI:1831342195
Name:JABER, JAMES (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:JABER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:645 W 9TH ST UNIT 110-392
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-1640
Mailing Address - Country:US
Mailing Address - Phone:949-212-8339
Mailing Address - Fax:495-028-8879
Practice Address - Street 1:850 S ATLANTIC BLVD
Practice Address - Street 2:STE 305
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-6714
Practice Address - Country:US
Practice Address - Phone:310-514-2640
Practice Address - Fax:310-935-3369
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-30
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125051272207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology