| Tavarua Medical & Mental Services | |
|
8207 Whittier Blvd Pico Rivera CA 90660-2521 | |
| (562) 692-2522 | |
| (562) 695-0413 |
| Full Name | Tavarua Medical & Mental Services |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8207 Whittier Blvd, Pico Rivera, California |
| Authorized Official Name and Position | Sean Ramanand 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 Po Box 801809 Valencia CA 91380-1809 Ph: (661) 254-6630 | Tavarua Medical & Mental Services 8207 Whittier Blvd Pico Rivera CA 90660-2521 Ph: (562) 692-2522 |
| NPI Number | 1427127174 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427127174 | NPI | - | NPPES |
| EAP70445F | Medicaid | CA | |
| 6984 | Medicaid | CA | |
| HDC70018F | Medicaid | CA | |
| CMM70445 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 960000644 (California) | Primary |
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