Dr JONATHAN TAVAKOLI is a male medical professional, specializing in Podiatry. He graduated in 2015.
HOME FOOT CARE, INC.
12520 MAGNOLIA BLVD
SUITE 304
VALLEY VILLAGE
CA
916072355
Tel: 8187823338
| Npi | 1467960690 |
| Pac Id | 0345598272 |
| Professional Enrollment Id | I20180808002571 |
| Last Name | TAVAKOLI |
| First Name | JONATHAN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | PODIATRY |
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| Organization Legal Name | HOME FOOT CARE, INC. |
| Group Practice Pac Id | 4981744257 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | 12520 MAGNOLIA BLVD |
| Line 2 Street Address | SUITE 304 |
| Marker Of Address Line 2 Suppression | |
| City | VALLEY VILLAGE |
| State | CA |
| Zip Code | 916072355 |
| Phone Number | 8187823338 |
| Hospital Affiliation Ccn 1 | 050663 |
| Hospital Affiliation Lbn 1 | LOS ANGELES COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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