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NPI Code Detail

MEDICARE: SARAH TAJRAN

MEDICARE: SARAH TAJRAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1164360921
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH TAJRAN
Provider Business Mailing Address
First Line : 1934 VIA CASA ALTA
Second Line :
City : LA JOLLA
State : CA
Zip : 92037-5730
Country : US
Telephone Number : 858-736-7369
Fax Number :
Provider Business Practice Location Address
First Line : 3249 OAK PARK AVE
Second Line :
City : BERWYN
State : IL
Zip : 60402-3429
Country : US
Telephone Number : 708-783-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ SARAH TAJRAN ” Practice Location

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