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
Fax: (818) 548-0447
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346249539 NPPES
California Other G78228 MEDICAL LICENSE
California Other 1346249539 MEDICAL LICENSE

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