Organization
TARA NOWAKHTAR OBGYN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA NOWAKHTAR DO (CEO)
(310) 729-5058
Entity
Organization
Contact information
Practice address
12746 W JEFFERSON BLVD STE 400, PLAYA VISTA, CA 90094-2885
(424) 315-2277
Mailing address
10565 ESTHER AVE, LOS ANGELES, CA 90064-3318
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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