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
Fax: (818) 788-2388
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114474004 NPPES
California MEDICAID 460508169

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