TAVARUA MEDICAL REHABILITATION SERVICES NPI 1679848568

NPI Information

NPI: 1679848568
Provider Name: TAVARUA MEDICAL REHABILITATION SERVICES

Doing Business As: AZUSA MEDICAL AND MENTAL HEALTH SERVICES

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
474 S CITRUS AVE
AZUSA, CA
ZIP 91702
Phone: (310) 678-7917
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TAVARUA MEDICAL REHABILITATION SERVICES is a primary care clinic center in Azusa, CA. TAVARUA MEDICAL REHABILITATION SERVICES NPI is 1679848568. The provider is registered as an organization entity type.
The provider Is Doing Business As Azusa Medical And Mental Health Services.

The provider's business location address is:

474 S CITRUS AVE
AZUSA, CA
ZIP 91702-733
Phone: (310) 678-7917

The provider's authorized official is Stan Sharma .
The authorized official title is President and has the following contact phone number (661) 254-6630.

The enumeration date for this NPI number is 3/12/2012 and was last updated on 3/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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