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Individual

SUSAN ANGIE TAMALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 907-2825
Mailing address
20752 W BUR OAK CIR, PORTER RANCH, CA 91326-4947

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
95034745
CA
208M00000X
Hospitalist Physician
Primary
95034745
CA
363LA2100X
Acute Care Nurse Practitioner
95034745
CA

Other

Enumeration date
11/25/2025
Last updated
11/25/2025
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