Carla Tahan, M.D.
Individual provider Active NPI Pediatrics Physician · Oak Park, CA
NPI 1235213604 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235213604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- G76934 (CA)
- Practice address
- 358 Kanan Rd
Oak Park, CA 91377-1111 - Phone
- (818) 707-0046
- Fax
- (818) 707-2430
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G76934 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Kids, a Professional Medical Corporation | Pediatrics | Past | Accepting new patients |
| Friends of Family Health Center | Past | Accepting new patients | |
| Los Robles Regional Medical Center | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G76934 | CA | Yes |
Addresses
Primary practice location
358 Kanan Rd
Oak Park, CA 91377-1111
Mailing address
7517 Atherton LN
West Hills, CA 91304-5214
Phone (818) 888-7244
Other providers in Oak Park, CA
- Shari Beth Stillman-Corbitt
- Strong Therapeutics LLC
- Michael Blake Stuart
- Superhero Smiles
- Tad a Erickson DDS a Dental Corporation
- Karen Tenenblatt
- Tessa G Inc.
- Valley Psych
- Valley Psych
- Sara Vela
All providers in Oak Park, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.