MEDICARE: TAMARA YASHAREL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	304548	CA

General Provider Information

NPI Number	:	1083497879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA YASHAREL

Provider Business Mailing Address
First Line	:	11980 SAN VICENTE BLVD STE 100
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-6602
Country	:	US
Telephone Number	:	310-479-2323
Fax Number	:

Provider Business Practice Location Address
First Line	:	11980 SAN VICENTE BLVD STE 100
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-6602
Country	:	US
Telephone Number	:	310-479-2323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2023
Last Update Date	:	08/15/2023

Similar Medicare Providers

1154559862 — VIRGINIA PRIOR L.AC.
Practice Location Address:

11980 SAN VICENTE BLVD STE 112
LOS ANGELES, CA
90049-6602

Practice Phone: 310-826-3706
Practice Fax:

1013239326 — WELL WOMEN ACUPUNCTURE
Practice Location Address:

11980 SAN VICENTE BLVD STE 112
LOS ANGELES, CA
90049-6602

Practice Phone: 310-991-7797
Practice Fax: 310-826-3713

1184947749 — DANICA THORNBERRY L.AC.
Practice Location Address:

11980 SAN VICENTE BLVD STE 112
LOS ANGELES, CA
90049-6602

Practice Phone: 310-991-7797
Practice Fax: 310-826-3713

1073173639 — DR. MEGAN KALINICH PT, DPT
Practice Location Address:

11980 SAN VICENTE BLVD STE 100
LOS ANGELES, CA
90049-6602

Practice Phone: 678-992-5635
Practice Fax:

1245064625 — HWIMIN KIM
Practice Location Address:

11980 SAN VICENTE BLVD STE 100
LOS ANGELES, CA
90049-6602

Practice Phone: 310-479-2323
Practice Fax:

1669265286 — COLFAX PHARMACEUTICAL INC
Practice Location Address:

11980 SAN VICENTE BLVD STE 104
LOS ANGELES, CA
90049-6602

Practice Phone: 310-820-1496
Practice Fax: 310-820-4186

Directions to “ TAMARA YASHAREL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.