Provider Demographics
NPI:1700439429
Name:TAMADDON, TARANEH (MPH, RD)
Entity Type:Individual
Prefix:
First Name:TARANEH
Middle Name:
Last Name:TAMADDON
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:
Other - Last Name:TAMADDON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MPH, RD
Mailing Address - Street 1:7562 BOBBYBOYAR AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-5372
Mailing Address - Country:US
Mailing Address - Phone:818-644-2822
Mailing Address - Fax:
Practice Address - Street 1:23041 HATTERAS ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-4236
Practice Address - Country:US
Practice Address - Phone:855-627-1417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1744R1103X, 174H00000X, 246ZB0600X, 247000000X, 133N00000X, 133NN1002X, 1744R1102X, 251K00000X, 251S00000X, 251V00000X, 252Y00000X, 253J00000X, 261Q00000X, 133V00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder
No174H00000XOther Service ProvidersHealth Educator
No246ZB0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherBiostatisticianGroup - Multi-Specialty
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information
No251E00000XAgenciesHome Health
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No1744R1102XOther Service ProvidersSpecialistResearch Study
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No252Y00000XAgenciesEarly Intervention Provider Agency
No253J00000XAgenciesFoster Care Agency
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center