MEDICARE: YARA TUMEH

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	183500000X	Pharmacist	60872	CA

General Provider Information

NPI Number	:	1982975553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YARA TUMEH

Provider Business Mailing Address
First Line	:	268 W DRYDEN ST APT 319
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-3730
Country	:	US
Telephone Number	:	818-445-8155
Fax Number	:

Provider Business Practice Location Address
First Line	:	6416 TAMPA AVE
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91335-6647
Country	:	US
Telephone Number	:	818-776-9014
Fax Number	:

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

Provider Enumeration Date	:	01/13/2012
Last Update Date	:	01/13/2012

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Directions to “ YARA TUMEH ” Practice Location

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