Jonathan Tavakoli, DPM | |
11932 Goshen Ave Ph 1, Los Angeles, CA 90049-7309 | |
(310) 651-0098 | |
Not Available |
Full Name | Jonathan Tavakoli |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 9 Years |
Location | 11932 Goshen Ave Ph 1, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467960690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E5422 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Los Angeles Community Hospital | Los angeles, CA | Hospital |
Southern California Hospital At Hollywood | Hollywood, CA | Hospital |
Community Hospital Of Huntington Park | Huntington park, CA | Hospital |
Provider Name | Home Foot Care Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447480785 PECOS PAC ID: 4981744257 Enrollment ID: O20091217000066 |
Provider Name | Omega Podiatry Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396057014 PECOS PAC ID: 5193004174 Enrollment ID: O20161115000893 |
Provider Name | Jonathan Tavakoli Dpm |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891478111 PECOS PAC ID: 0143663583 Enrollment ID: O20240213001649 |
Mailing Address | Practice Location Address |
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Jonathan Tavakoli, DPM 11932 Goshen Ave Ph 1, Los Angeles, CA 90049-7309 Ph: () - | Jonathan Tavakoli, DPM 11932 Goshen Ave Ph 1, Los Angeles, CA 90049-7309 Ph: (310) 651-0098 |
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