Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 20A13140 | CA |
NPI | 1093074627 |
---|---|
Provider Name | Dr. Tamara Dahhan |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Sylmar, CA 91342-1437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2012 |
Last Update Date | 01/08/2018 |