Individual
DR. TARA VIJAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 365, LOS ANGELES, CA 90095-8344
(310) 825-7225
(310) 825-3932
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90095-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A107177
CA
Other
Enumeration date
04/22/2009
Last updated
02/06/2025
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