TARZANA SURGICAL SPECIALISTS INC (NPI# 1376779363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376779363 |
| Entity Type | Organization |
| Organization Name | TARZANA SURGICAL SPECIALISTS INC |
| Practice Address |
18425 Burbank Blvd Suite 105 Tarzana CA 91356-2806 |
| Practice Telephone | 8186540595 |
| Mailing Telephone | 8186540595 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-08 |
| Authorized Official Name | DR. MOKHTAR G MIKHAIL (PRESIDENT) |
| Authorized Official Telephone | 8186540590 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
18425 BURBANK BLVD SUITE 105 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184600074 | Maurice Gourdji Md Inc & Lucien R Jacobs Md Inc | Internal Medicine | 18425 Burbank Blvd, Suite 500, Tarzana, CA 91356-2806 | 2005-12-21 |
| 1013566520 | Yevgeniy Glukhovsky | Nurse Practitioner | 18425 Burbank Blvd, Tarzana, CA 91356-2806 | 2019-09-06 |
| 1588199525 | Sharis Ayazjoo, Mft, Marriage & Family Therapy, Inc. | Marriage & Family Therapist | 18425 Burbank Blvd, Suite #613, Tarzana, CA 91356-2806 | 2017-04-27 |
| 1841725876 | Sharis Ayazjoo | Marriage & Family Therapist | 18425 Burbank Blvd, Suite #613, Tarzana, CA 91356-2806 | 2017-04-27 |
| 1144610445 | Sharon Sperling | Dietitian, Registered | 18425 Burbank Blvd, Ste 102, Tarzana, CA 91356-2806 | 2015-01-26 |
| 1851794911 | Aimi Yurika Mizumoto | Physical Therapist | 18425 Burbank Blvd, Suite 413, Tarzana, CA 91356-2806 | 2014-10-03 |
| 1891135596 | Michele Ann Marks | Nurse Practitioner | 18425 Burbank Blvd, Suite 719, Tarzana, CA 91356 | 2013-06-27 |
| 1275891467 | Mount Sinai Surgery Group, Inc | Clinic/Center | 18425 Burbank Blvd, Suite 102, Tarzana, CA 91356-2806 | 2012-04-25 |
| 1760753297 | Los Angeles Sleep Study Institute | Clinic/Center | 18425 Burbank Blvd, Suite 105, Tarzana, CA 91356-2806 | 2012-01-13 |
| 1386920874 | Mike Imberman D M D Inc A Professional Corporation | Dentist | 18425 Burbank Blvd, Ste 709, Tarzana, CA 91356-2806 | 2011-10-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447591599 | Peteris Bormanis | Surgery | 4933 Matula Dr, Tarzana, CA 91356-4005 | 2013-03-13 |
| 1477899615 | Douglas J Morrow Md Inc | Surgery | 18370 Burbank Blvd #607, Tarzana, CA 91356 | 2012-12-17 |
| 1427562677 | La Weight Loss | Surgery | 18425 Burbank Blvd Ste 102, Tarzana, CA 91356-2812 | 2017-11-27 |
| 1457540502 | Raymond Rivera | Surgery | 5525 Etiwanda Ave, Suite 222, Tarzana, CA 91356-3647 | 2007-10-15 |
| 1528284726 | Raymond T. Rivera, Md Apc | Surgery | 5525 Etiwanda Ave, Suite 222, Tarzana, CA 91356-3647 | 2007-04-17 |
| 1457476780 | David Sievers | Surgery | 18370 Burbank Blvd, Suite 607, Tarzana, CA 91356-2804 | 2007-03-19 |
| 1225152515 | Mudjianto Chandra | Surgery | 18370 Burbank Blvd, Suite 607, Tarzana, CA 91356-2804 | 2007-03-19 |
| 1992853477 | Lana D Louie | Surgery | 18370 Burbank Blvd, Suite 607, Tarzana, CA 91356-2804 | 2007-01-08 |
| 1780772582 | Krikor B. Tatoyan, M.d., Inc. | Surgery | 18425 Burbank Blvd, Ste. 105, Tarzana, CA 91356-2806 | 2006-10-10 |
| 1881605848 | Allen L Hoffman | Surgery | 18411 Clark St, Suite 305, Tarzana, CA 91356-3506 | 2006-08-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.