Tamara Elhaj, | |
2170 Fillmore Ct, La Verne, CA 91750-5060 | |
(909) 233-5696 | |
Not Available |
Full Name | Tamara Elhaj |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2170 Fillmore Ct, La Verne, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215477617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP 22258 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Tamara Elhaj, 2170 Fillmore Ct, La Verne, CA 91750-5060 Ph: () - | Tamara Elhaj, 2170 Fillmore Ct, La Verne, CA 91750-5060 Ph: (909) 233-5696 |
Alexandria Green, MS, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2120 Foothill Blvd Ste 115, La Verne, CA 91750 Phone: 888-647-3622 | |
Carmen A. Barr, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2120 Foothill Blvd Ste 115, La Verne, CA 91750 Phone: 888-647-3622 | |
Green Family Therapies Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2120 Foothill Blvd Ste 115, La Verne, CA 91750 Phone: 888-647-3622 |