Individual
TANAZ A KERMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 SANTA MONICA BLVD, SUITE 540, SANTA MONICA, CA 90404-2023
(310) 582-6350
(310) 582-6352
Mailing address
2020 SANTA MONICA BLVD, SUITE 540, SANTA MONICA, CA 90404-2023
(310) 582-6350
(310) 582-6352
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
47693
MN
207RR0500X
Rheumatology Physician
Primary
A118919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143411000
—
MN
01
—
1720068448
CCS PANELED
CA
05
—
1720068448
—
CA
Enumeration date
01/19/2006
Last updated
11/01/2012
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