Individual
DR. TANNAZ NIKRAVESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6404 WILSHIRE BLVD, SUITE 600, LOS ANGELES, CA 90048-5501
(310) 659-2226
(323) 782-8528
Mailing address
6404 WILSHIRE BLVD, SUITE 600, LOS ANGELES, CA 90048-5501
(310) 659-2226
(323) 782-8528
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A88061
CA
Other
Enumeration date
06/09/2006
Last updated
09/14/2010
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