Individual
ORAH MAHTOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14600 SHERMAN WAY STE 250, VAN NUYS, CA 91405-2284
(818) 212-2223
Mailing address
6051 LINDLEY AVE UNIT 2, TARZANA, CA 91356-1725
(818) 672-6724
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP95007450
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95007450
CA
Other
Enumeration date
09/25/2017
Last updated
12/16/2024
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