| Tara Nowakhtar, | |
|
12746 W. Jefferson Blvd Suite 4000, Playa Vista, CA 90094-5162 | |
| (424) 315-2277 | |
| Not Available |
| Full Name | Tara Nowakhtar |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 12746 W. Jefferson Blvd Suite 4000, Playa Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255746475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101021203 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 20A16591 (California) | Primary |
| Entity Name | Cedars-sinai Medical Care Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Nowakhtar, 4140 W 190th St, Torrance, CA 90504-5162 Ph: () - | Tara Nowakhtar, 12746 W. Jefferson Blvd Suite 4000, Playa Vista, CA 90094-5162 Ph: (424) 315-2277 |
Dr. Benjamin Yoones Zaghi, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 12746 W Jefferson Blvd Ste 4000, Playa Vista, CA 90094 Phone: 424-315-2277 | |
Lindsay Gubernick, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12746 W Jefferson Blvd # 4000, Playa Vista, CA 90094 Phone: 424-315-2347 |