Provider Demographics
NPI:1326364373
Name:TOOMARI, NOJAN (DO)
Entity Type:Individual
Prefix:DR
First Name:NOJAN
Middle Name:
Last Name:TOOMARI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16343
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91416-6343
Mailing Address - Country:US
Mailing Address - Phone:818-570-1845
Mailing Address - Fax:
Practice Address - Street 1:16661 VENTURA BLVD STE 408
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1961
Practice Address - Country:US
Practice Address - Phone:818-570-1845
Practice Address - Fax:818-860-1845
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A111622086S0127X, 2086X0206X, 208C00000X
CA20A 11162208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1467940Medicaid