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Organization
TARZANA TOTAL CARE
Active
Organization
TARZANA TOTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMID NASSIM M.D. (PRESIDENT)
(818) 343-1168
Entity
Organization
Contact information
Practice address
18607 VENTURA BLVD, 204, TARZANA, CA 91356-4159
(818) 343-1168
(818) 343-1184
Mailing address
18607 VENTURA BLVD, 204, TARZANA, CA 91356-4159
(818) 343-1168
(818) 343-1184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A42975
CA
208D00000X
General Practice Physician
A42975
CA
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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