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General NPI Number Information
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NPI Number | 1184913592
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Entity Type | Individual
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Provider Name | HOOMAN JEFF NAZAR D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 18740 VENTURA BLVD STE 101
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City | TARZANA
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State | CA
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Zip | 91356-3366
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Country | US
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Telephone | 818-906-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 18740 VENTURA BLVD # 101
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City | TARZANA
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State | CA
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Zip | 91356-3366
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 11459
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License Number State | CA
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