Individual provider · Type 1 NPI
Delaram Devorah Omidfar, FNP-BC
Primary Care Nurse Practitioner · Tarzana, CA
NPI number
1356167191
Active
Practice location
6243 Tampa Ave
Tarzana, CA 91335-6644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 95089153 (CA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95031576 (CA) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Tarzana
About NPI 1356167191
Delaram Devorah Omidfar, FNP-BC's National Provider Identifier is 1356167191, issued on Nov 26, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tarzana, CA. The record was last updated on Nov 26, 2024.