| Tavarua Medical & Mental Services | |
|
4023 Marine Ave Lawndale CA 90260-1840 | |
| (310) 675-9555 | |
| (310) 263-2415 |
| Full Name | Tavarua Medical & Mental Services |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4023 Marine Ave, Lawndale, California |
| Authorized Official Name and Position | Stan Sharma (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6612546630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tavarua Medical & Mental Services 26460 Summit Cir Santa Clarita CA 91350-2991 Ph: (661) 254-6630 | Tavarua Medical & Mental Services 4023 Marine Ave Lawndale CA 90260-1840 Ph: (310) 675-9555 |
| NPI Number | 1609135771 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 05/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609135771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 960000644 (California) | Primary |
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