Kermani, Tanaz A
Kermani, Tanaz A is an individual health care provider with primary practice located at 2020 Santa Monica Blvd Suite 540, Santa Monica CA 90404-2023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Kermani, Tanaz A can be contacted via phone (310) 582-6350.Contact Information
Primary practice address
2020 Santa Monica Blvd Suite 540
Santa Monica CA 90404-2023
Phone: (310) 582-6350
Fax: (310) 582-6352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 47693 | Minnesota |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | A118919 | California |
Profile Details
| NPI number | 1720068448 |
|---|---|
| LBN Legal business name | Kermani, Tanaz A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Nov 1st, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720068448 | NPPES |
| California | Other | 1720068448 | CCS PANELED |
| California | MEDICAID | 1720068448 | CCS PANELED |
| California | MEDICAID | 143411000 | CCS PANELED |
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