Healthcare Provider Details

I. General information

NPI: 1245146216
Provider Name (Legal Business Name): TALI ZARNEGAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16101 VENTURA BLVD STE 329
ENCINO CA
91436-2516
US

IV. Provider business mailing address

16101 VENTURA BLVD STE 329
ENCINO CA
91436-2516
US

V. Phone/Fax

Practice location:
  • Phone: 818-907-9900
  • Fax:
Mailing address:
  • Phone: 818-907-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113621
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: