Afshar-Tavana, Elhom
Afshar-Tavana, Elhom is an sole proprietor health care provider with primary practice located at 15720 Ventura Blvd Ste 403 , Encino CA 91436-2997. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Afshar-Tavana, Elhom can be contacted via phone (818) 788-2388.Contact Information
Primary practice address
15720 Ventura Blvd Ste 403
Encino CA 91436-2997
Phone: (818) 788-2388
Fax: (818) 788-2388
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | California |
Profile Details
NPI number | 1114474004 |
---|---|
LBN Legal business name | Afshar-Tavana, Elhom |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 8th, 2016 |
Last updated | Sep 8th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114474004 | NPPES |
California | MEDICAID | 460508169 |
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