Organization
JONATHAN TAVAKOLI DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN TAVAKOLI DPM (CEO)
(310) 651-0098
Entity
Organization
Contact information
Practice address
10518 WILKINS AVE, LOS ANGELES, CA 90024-6032
(310) 651-0098
Mailing address
10518 WILKINS AVE, LOS ANGELES, CA 90024-6032
(310) 651-0098
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
02/13/2024
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