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Organization
TANGEROAD, LLC
Active
Organization
TANGEROAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATIN RAJABOV (PRESIDENT)
(424) 380-2811
Entity
Organization
Contact information
Practice address
229 N CENTRAL AVE STE 402, GLENDALE, CA 91203-3542
(424) 380-2811
(424) 270-1888
Mailing address
229 N CENTRAL AVE STE 402, GLENDALE, CA 91203-3542
(424) 380-2811
(424) 270-1888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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