Individual provider · Type 1 NPI

Tala Stephanie Ghadimi I, DO

Student in an Organized Health Care Education/Training Program · Glendale, CA

NPI number 1619499050 Active

Practice location

801 S Chevy Chase Dr Ste 230
Glendale, CA 91205-4436

Call (818) 500-5586 Map

Fax (818) 500-5587

Mailing address

801 S Chevy Chase Dr Ste 201
Glendale, CA 91205-4435

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619499050

Tala Stephanie Ghadimi I, DO's National Provider Identifier is 1619499050, issued on Jul 7, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, CA. The record was last updated on Feb 28, 2023.