Takhalova, Mira
Takhalova, Mira is an sole proprietor health care provider with primary practice located at 8445 Vernon Avenue #309 , Los Angeles CA 90067-4565. She recently has only one registered license in Nursing Service Providers / Gerontology, which is considered as her primary health care specialty. Takhalova, Mira can be contacted via phone (323) 633-6363.Contact Information
Primary practice address
8445 Vernon Avenue #309
Los Angeles CA 90067-4565
Phone: (323) 633-6363
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Gerontology | 163WG0600X | 586479 | California |
Profile Details
| NPI number | 1366171779 |
|---|---|
| LBN Legal business name | Takhalova, Mira |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2022 |
| Last updated | Jun 9th, 2022 - about 2 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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