Tahereh Tara Mojdeh Omrani, is a
Rehabilitation Practitioner based in Los Angeles, California. Tahereh Tara Mojdeh Omrani is licensed to practice in * (Not Available) (license number ) and her current practice location is
3580 Wilshire Blvd Ste 2000, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 381-1250.
NPI number for Tahereh Tara Mojdeh Omrani is 1215408075 and her current mailing address is 3580 Wilshire Blvd Ste 2000, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215408075.
Healthcare Provider's Profile
| Full Name | Tahereh Tara Mojdeh Omrani |
|---|
| Gender | Female |
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| Speciality | Rehabilitation Practitioner |
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| Location | 3580 Wilshire Blvd Ste 2000, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215408075
- Provider Enumeration Date: 12/05/2018
- Last Update Date: 04/15/2025
Medical Identifiers
Medical identifiers for Tahereh Tara Mojdeh Omrani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215408075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tahereh Tara Mojdeh Omrani is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tahereh Tara Mojdeh Omrani,
3580 Wilshire Blvd Ste 2000,
Los Angeles, CA 90010-2533
Ph: (213) 381-1250 | Tahereh Tara Mojdeh Omrani,
3580 Wilshire Blvd Ste 2000,
Los Angeles, CA 90010-2533
Ph: (213) 381-1250 |
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