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Individual

DR. JEFFREY L TARANTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
621 S WESTERN AVE STE 214, LOS ANGELES, CA 90005-3042
(213) 389-1001
Mailing address
1626 MALCOLM AVE APT 304, LOS ANGELES, CA 90024-7830
(954) 303-1882
(818) 530-7761

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14381
CA
152W00000X
Optometrist
TUV007083
NY

Other

Enumeration date
12/21/2006
Last updated
05/31/2023
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