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Contact Information

JAVID TAVARI, D.O., INC.
11645 WILSHIRE BLVD
SUITE 745
LOS ANGELES, CA90025-1708
 Phone: 310-696-0100
 Fax: 310-696-0700
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAVID TAVARI, D.O., INC.

NPI Number 1992840680
LBN Legal business name JAVID TAVARI, D.O., INC.
Authorized official JAVID TAVARI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2007
Last updated 10/11/2013 - About 13 years ago
Identifiers
CA License # 20A6273
CA Other 020A62730 BLUE CROSS
CA Other 020A62731 BLUE CROSS
CA Other 020A62731 BLUE SHIELD
CA Other FNP2021 OSTEOPATHIC MEDICAL BOARD OF CALIFORNIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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