Healthcare Provider Details

I. General information

NPI: 1831020874
Provider Name (Legal Business Name): TALAR TALIA-AIDA KEVORKIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 N MILPAS ST
SANTA BARBARA CA
93103-2331
US

IV. Provider business mailing address

3115 DONA CLARA PL
STUDIO CITY CA
91604-4308
US

V. Phone/Fax

Practice location:
  • Phone: 805-884-1998
  • Fax:
Mailing address:
  • Phone: 818-319-0862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: