| Organization Name: | TARZANA TOTAL CARE |
| NPI Number: | 1326383183 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OMID NASSIM (PRESIDENT) |
| Mailing Address: | 18607 Ventura Blvd 204 Tarzana |
| State: | CA US |
| Postal Code: | 913564159 |
| Phone Number: | 8183431168 |
| Fax Number: | 8183431184 |
| NPI Enumeration Date: | 12/05/2012 |
| NPI Last Update Date: | 12/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A42975 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |