Tigalat Shalita, D O Inc. | |
23928 Lyons Ave Ste 201 Santa Clarita CA 91321 | |
(661) 259-0627 | |
(661) 259-0628 |
Full Name | Tigalat Shalita, D O Inc. |
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Speciality | Family Medicine |
Location | 23928 Lyons Ave Ste 201, Santa Clarita, California |
Authorized Official Name and Position | Tigalat Shalita (PRESIDENT) |
Authorized Official Contact | 8186760080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tigalat Shalita, D O Inc. 7230 Medical Center Dr Ste 202 West Hills CA 91307-4006 Ph: () - | Tigalat Shalita, D O Inc. 23928 Lyons Ave Ste 201 Santa Clarita CA 91321 Ph: (661) 259-0627 |
NPI Number | 1285938647 |
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Provider Enumeration Date | 12/28/2010 |
Last Update Date | 08/14/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285938647 | NPI | - | NPPES |
00AX90001 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A9000 (California) | Primary |
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