Healthcare Provider Details

I. General information

NPI: 1740613678
Provider Name (Legal Business Name): JOSEPH TAMARGO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2013
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19019 VENTURA BLVD
TARZANA CA
91356-3253
US

IV. Provider business mailing address

19019 VENTURA BLVD
TARZANA CA
91356-3253
US

V. Phone/Fax

Practice location:
  • Phone: 818-501-8352
  • Fax: 818-501-8325
Mailing address:
  • Phone: 818-501-8352
  • Fax: 818-501-8325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: