MITRA TAHVILDARIAN

ENCINO, CA
NPI1730546581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: CA  95003672)
Enumeration Date2016-01-25
Last Update Date2021-03-08
Business Address
Dr. MITRA TAHVILDARIAN Ph.D., AGNP, CFMP
15840 VENTURA BLVD 301
ENCINO, CA 91436-2932
Phone number: 818-917-2371
Mailing Address
Dr. MITRA TAHVILDARIAN Ph.D., AGNP, CFMP
15840 VENTURA BLVD STE 301
ENCINO, CA 91436-2932
Phone number: 818-917-2371