Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRA TAKHALOVA, RN
Active Sole ProprietorMIRA TAKHALOVA, RN is a Gerontological Nurse healthcare provider located in LOS ANGELES, California. NPI 1366171779 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse · LOS ANGELES, CA
Registration Details
- NPI Number
- 1366171779
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2022 (4.2061115316575 yrs)
- Last Updated
- Jun 9, 2022
- License
-
586479 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8445 VERNON AVENUE #309LOS ANGELES, CA, 900674565Browse CA providers · Browse ZIP 90067
- Phone
- 3236336363
- Primary Specialty
-
Gerontological Nurse
163WG0600X
Other Gerontological Nurse Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MS. SHARON ANN GOLUB | RN MN CNS | 1710161559 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.