Provider Demographics
NPI:1699952820
Name:TAREEN, NAUREEN (MD)
Entity type:Individual
Prefix:DR
First Name:NAUREEN
Middle Name:
Last Name:TAREEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3834 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90062-1104
Mailing Address - Country:US
Mailing Address - Phone:323-730-1920
Mailing Address - Fax:323-373-2045
Practice Address - Street 1:831 W LAS PALMAS DR
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-1439
Practice Address - Country:US
Practice Address - Phone:714-403-9942
Practice Address - Fax:714-403-9942
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA64054207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABT5728689OtherDEA