Provider Demographics
NPI:1851752042
Name:TABAROKI, TALIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TALIA
Middle Name:
Last Name:TABAROKI
Suffix:
Gender:F
Credentials:PHARMD
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 6396
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1396
Mailing Address - Country:US
Mailing Address - Phone:310-435-6630
Mailing Address - Fax:
Practice Address - Street 1:1747 N CAHUENGA BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90028-5101
Practice Address - Country:US
Practice Address - Phone:323-463-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71444183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist