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Organization
TIGALAT SHALITA, D O INC.
Active
Organization
TIGALAT SHALITA, D O INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIGALAT SHALITA D.O. (PRESIDENT)
(818) 676-0080
Entity
Organization
Contact information
Practice address
23928 LYONS AVE STE 201, SANTA CLARITA, CA 91321
(661) 259-0627
(661) 259-0628
Mailing address
7230 MEDICAL CENTER DR STE 202, WEST HILLS, CA 91307-4006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A9000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX90001
—
CA
Enumeration date
12/28/2010
Last updated
08/14/2018
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