Individual
DEBIE LAM TALOVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3975 JACKSON ST STE 207, RIVERSIDE, CA 92503-3948
(951) 352-2092
Mailing address
5038 BIRCH ST UNIT 326, MONTCLAIR, CA 91763-3071
(909) 346-5338
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
PA58277
CA
363A00000X
Physician Assistant
Primary
PA58277
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/25/2019
Last updated
05/11/2026
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