# TANGEROAD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629581988
- **Authorized official:** MR. MATIN RAJABOV (PRESIDENT)
- **Authorized official phone:** (424) 380-2811

## Contact information

- **Practice address:** 229 N CENTRAL AVE STE 402, GLENDALE, CA 91203-3542
- **Practice address phone:** (424) 380-2811
- **Practice address fax:** (424) 270-1888
- **Mailing address:** 229 N CENTRAL AVE STE 402, GLENDALE, CA 91203-3542
- **Mailing address phone:** (424) 380-2811
- **Mailing address fax:** (424) 270-1888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2017
- **Last updated:** 11/08/2017