Individual
MS. TARA VAFAEENIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10920 PALMS BLVD APT 207, LOS ANGELES, CA 90034-6145
(925) 212-8780
Mailing address
10920 PALMS BLVD APT 207, LOS ANGELES, CA 90034-6145
(925) 212-8780
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
768950
CA
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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