Individual provider · Type 1 NPI
Jonathan Tavakoli, DPM
Foot & Ankle Surgery Podiatrist · Los Angeles, CA
NPI number
1467960690
Active
Practice location
11932 Goshen Ave Ph 1
Los Angeles, CA 90049-7309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5422 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1467960690
Jonathan Tavakoli, DPM's National Provider Identifier is 1467960690, issued on Jan 22, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 22, 2018.