Individual
DR. MICHAEL TAHERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10884 SANTA MONICA BLVD STE 400, LOS ANGELES, CA 90025-7639
(818) 296-9499
(818) 548-0447
Mailing address
PO BOX 16376, BEVERLY HILLS, CA 90209-2376
(818) 265-9499
(818) 548-0447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G78228
CA
207VG0400X
Gynecology Physician
Primary
G78228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346249539
NPI NUMBER
CA
01
—
G78228
MEDICAL LICENSE
CA
Enumeration date
07/19/2005
Last updated
05/23/2023
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