Mafutaga S. Tagaloa-tulifau | |
5220 Clark Ave Suite 315 Lakewood CA 90712-2618 | |
(562) 925-3055 | |
Not Available |
Full Name | Mafutaga S. Tagaloa-tulifau |
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Speciality | Clinic/center |
Location | 5220 Clark Ave, Lakewood, California |
Authorized Official Name and Position | Mafutaga S. Tagaloa-tulifau (OWNER) |
Authorized Official Contact | 5629253055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mafutaga S. Tagaloa-tulifau 5220 Clark Ave Suite 315 Lakewood CA 90712-2618 Ph: () - | Mafutaga S. Tagaloa-tulifau 5220 Clark Ave Suite 315 Lakewood CA 90712-2618 Ph: (562) 925-3055 |
NPI Number | 1265613947 |
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Provider Enumeration Date | 11/21/2007 |
Last Update Date | 11/21/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265613947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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