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JAVID TAVARI D.O. INC. NPI 1992840680


NPI Information

NPI: 1992840680
Provider Name: JAVID TAVARI, D.O., INC.
Classification: Internal Medicine - 207RS0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
11645 WILSHIRE BLVD
SUITE 745
LOS ANGELES, CA
ZIP 90025
Phone: (310) 696-0100
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JAVID TAVARI, D.O., INC. is a sports medicine internal medicine in Los Angeles, CA. The provider is an internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. JAVID TAVARI, D.O., INC. NPI is 1992840680. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11645 WILSHIRE BLVD
SUITE 745
LOS ANGELES, CA
ZIP 90025-708
Phone: (310) 696-0100
Fax: (310) 696-0700

The provider's authorized official is Javid D Tavari .
The authorized official title is Ceo and has the following contact phone number (310) 696-0100.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 10/11/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports MedicineNo
2207R00000XInternal Medicine20A6273CALIFORNIANo
3207RS0010XInternal MedicineSports Medicine20A6273CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1020A62731OTHERCALIFORNIABLUE SHIELD
2G10915MEDICARE UPINCALIFORNIA
3020A62730OTHERCALIFORNIABLUE CROSS
4020A62731OTHERCALIFORNIABLUE CROSS
5FNP2021OTHERCALIFORNIAOSTEOPATHIC MEDICAL BOARD OF CALIFORNIA
620A6273AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE

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

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