MEDICARE: TAMARA ZAKARIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	17703	CA

General Provider Information

NPI Number	:	1235999467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA ZAKARIAN

Provider Business Mailing Address
First Line	:	7137 ALVERN ST APT H225
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-1880
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2180 WESTWOOD BLVD STE 2A
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6352
Country	:	US
Telephone Number	:	424-358-5455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2024
Last Update Date	:	03/22/2024

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Directions to “ TAMARA ZAKARIAN ” Practice Location

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