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Organization
TARZANA GARDEN OB GYN
Active
Organization
TARZANA GARDEN OB GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SID KAMRAVA MD (PRESIDENT)
(818) 345-6650
Entity
Organization
Contact information
Practice address
18411 CLARK ST, 301, TARZANA, CA 91356
(818) 345-6600
(818) 705-0035
Mailing address
18411 CLARK ST, 301, TARZANA, CA 91356
(818) 345-6600
(818) 705-0035
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A34548
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G41227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A345480
—
CA
Enumeration date
09/01/2006
Last updated
08/22/2020
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