Healthcare Provider Details

I. General information

NPI: 1326364373
Provider Name (Legal Business Name): NOJAN TOOMARI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2010
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:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number20A11162
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number20A11162
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number20A11162
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number20A 11162
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: