Tahery, Michael
Tahery, Michael is an sole proprietor health care provider with primary practice located at 10884 Santa Monica Blvd Ste 400 , Los Angeles CA 90025-7639. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Tahery, Michael can be contacted via phone (818) 296-9499.Contact Information
Primary practice address
10884 Santa Monica Blvd Ste 400
Los Angeles CA 90025-7639
Phone: (818) 296-9499
Fax: (818) 548-0447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G78228 | California |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | G78228 | California |
Profile Details
| NPI number | 1346249539 |
|---|---|
| LBN Legal business name | Tahery, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | May 23rd, 2023 - about last year |
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 | 1346249539 | NPPES |
| California | Other | G78228 | MEDICAL LICENSE |
| California | Other | 1346249539 | MEDICAL LICENSE |
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