Individual
TARA ZAMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12301 WILSHIRE BLVD STE 512, LOS ANGELES, CA 90025-1053
(888) 684-2779
Mailing address
1601 VENICE BLVD APT 406, VENICE, CA 90291-5977
(310) 850-9622
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030074
CA
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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