Individual
DANIEL TAVARI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2230 LYNN RD, SUITE 200, THOUSAND OAKS, CA 91360-1901
(805) 495-1066
(805) 497-1428
Mailing address
2230 LYNN RD, SUITE 200, THOUSAND OAKS, CA 91360-1901
(805) 495-1066
(805) 497-1428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A7214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX72140
—
CA
Enumeration date
06/07/2006
Last updated
07/08/2007
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