Healthcare Provider Details

I. General information

NPI: 1073926945
Provider Name (Legal Business Name): NOJAN TOOMARI, DO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2014
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16661 VENTURA BLVD STE 408
ENCINO CA
91436-1961
US

IV. Provider business mailing address

PO BOX 16343
ENCINO CA
91416-6343
US

V. Phone/Fax

Practice location:
  • Phone: 818-570-1845
  • Fax: 818-860-1845
Mailing address:
  • Phone: 818-570-1845
  • Fax: 818-860-1845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NOJAN TOOMARI
Title or Position: OWNER
Credential: DO
Phone: 818-570-1845