Healthcare Provider Details

I. General information

NPI: 1447169347
Provider Name (Legal Business Name): ISAIAH TAJOUR FEIL-SHARP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7422 GARVEY AVE UNIT 204
ROSEMEAD CA
91770-2974
US

IV. Provider business mailing address

706 N ST ANDREWS PL APT 204
LOS ANGELES CA
90038-5101
US

V. Phone/Fax

Practice location:
  • Phone: 626-531-6999
  • Fax: 626-531-6998
Mailing address:
  • Phone: 818-233-8941
  • Fax: 626-531-6998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: