Individual
TARANEH PARAVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9350 CAMPUS POINT DR STE 2B, MAIL CODE 0975, LA JOLLA, CA 92037-1300
(858) 657-8322
Mailing address
9350 CAMPUS POINT DR STE 2B, MAIL CODE 0975, LA JOLLA, CA 92037-1300
(858) 657-8322
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A116105
CA
Other
Enumeration date
03/27/2011
Last updated
05/16/2011
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