Healthcare Provider Details
I. General information
NPI: 1861396491
Provider Name (Legal Business Name): TOOMARI PEDIATRICS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20301 VENTURA BLVD STE 112
WOODLAND HILLS CA
91364-0928
US
IV. Provider business mailing address
PO BOX 573429
TARZANA CA
91357-3429
US
V. Phone/Fax
- Phone: 818-522-1818
- Fax: 818-616-4431
- Phone: 818-522-1818
- Fax: 818-616-4431
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
TAJAV
TOOMARI
Title or Position: OWNER
Credential: DO
Phone: 818-522-1818