Provider Demographics
NPI:1568623635
Name:KABBANY, VICTOR JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:JOSEPH
Last Name:KABBANY
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 1:4281 KATELLA AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3588
Mailing Address - Country:US
Mailing Address - Phone:562-554-5430
Mailing Address - Fax:562-800-4049
Practice Address - Street 1:4281 KATELLA AVE STE 111
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3588
Practice Address - Country:US
Practice Address - Phone:562-554-5430
Practice Address - Fax:562-800-4049
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-21
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA103370207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine