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Organization

DR. MAFUTAGA S. TAGALOA-TULIFAU

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAFUTAGA TAGALOA-TULIFAU (OWNER)
(562) 925-3055
Entity
Organization

Contact information

Practice address
5220 CLARK AVE, SUITE315, LAKEWOOD, CA 90712-2618
(562) 925-3055
Mailing address
5220 CLARK AVE, SUITE315, LAKEWOOD, CA 90712-2618
(562) 925-3055

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E41930
CA
Enumeration date
03/03/2008
Last updated
12/31/2010
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