Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mira Takhalova, RN

Individual provider Gerontology Registered Nurse · NPI 1366171779

Mira Takhalova, RN is a Gerontology Registered Nurse in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

8445 Vernon Ave #309
Los Angeles, CA 90067-4565
Phone: (323) 633-6363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Registered Nurse (primary) Taxonomy 163WG0600X · Licence 586479 (CA)

Record details

NPI number1366171779
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 9, 2022
Last updated in NPPESJune 9, 2022
Certification dateJune 6, 2022

Other providers in Los Angeles