MIRA TAKHALOVA RN NPI 1366171779

NPI Information

NPI: 1366171779
Provider Name: MIRA TAKHALOVA, RN
Classification: Registered Nurse - 163WG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
8445 VERNON AVENUE #309
LOS ANGELES, CA
ZIP 90067
Phone: (323) 633-6363
Get Directions

Mira Takhalova, RN is a gerontology registered nurse in Los Angeles, CA. Mira Takhalova, RN NPI is 1366171779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8445 VERNON AVENUE #309
LOS ANGELES, CA
ZIP 90067-565
Phone: (323) 633-6363

The enumeration date for this NPI number is 6/9/2022 and was last updated on 6/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0600X	Registered Nurse	Gerontology	586479	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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