Individual
TARA MARIE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 WESTWOOD PLZ STE 3325, LOS ANGELES, CA 90095-3239
(310) 267-8626
(310) 267-8679
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95037462
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002326
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95037462
RN
CA
Enumeration date
11/09/2021
Last updated
05/01/2024
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