# TAMIKA HENRY MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770381436
- **Authorized official:** TAMIKA HENRY MD/OWNER (OWNER)
- **Authorized official phone:** (323) 496-0134

## Contact information

- **Practice address:** 331 ARDEN AVE STE 101, GLENDALE, CA 91203-4023
- **Practice address phone:** (323) 496-0134
- **Mailing address:** 4611 VINETA AVE, LA CANADA, CA 91011-2618
- **Mailing address phone:** (323) 496-0134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2025
- **Last updated:** 07/08/2026