| Tangeroad, Llc | |
|
229 N Central Ave Ste 402 Glendale CA 91203-3542 | |
| (424) 380-2811 | |
| (424) 270-1888 |
| Full Name | Tangeroad, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 229 N Central Ave Ste 402, Glendale, California |
| Authorized Official Name and Position | Matin Rajabov (PRESIDENT) |
| Authorized Official Contact | 4243802811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tangeroad, Llc 229 N Central Ave Ste 402 Glendale CA 91203-3542 Ph: (424) 380-2811 | Tangeroad, Llc 229 N Central Ave Ste 402 Glendale CA 91203-3542 Ph: (424) 380-2811 |
| NPI Number | 1629581988 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 11/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629581988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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