Tarzana Diagnostic Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

TG260 Issued in CA

Legal business name

TARZANA DIAGNOSTIC INC.

Practice address

5250 Santa Monica Blvd
Ste 211
Los Angeles, CA 90029-1252

Phone

(323) 668-2572

Fax

(323) 668-2573

NPI assigned

Oct 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gokor Arakelyan

Title

Owner

Phone

(323) 668-2572

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306936174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 SANTA MONICA BLVD",
            "address_2": "STE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291252",
            "telephone_number": "323-668-2572",
            "fax_number": "323-668-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 SANTA MONICA BLVD",
            "address_2": "STE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291252",
            "telephone_number": "323-668-2572",
            "fax_number": "323-668-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA DIAGNOSTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARAKELYAN",
        "authorized_official_first_name": "GOKOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-668-2572"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "TG260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Jerome Tarsky, D.D.S.
• Cayla Tarver
• Steve M Tarver, PH.D.
• Ani Tarverdian
• Julia Tarverdova, NP
• Tarzana Treatment Centers, Inc.
• Fawaz Philip Tarzi, MD
• Stephen F. Tarzynski, MD
• Raymond Don Taschuk
• Edmond Tash, D.D.S

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.