Organization
TAVARUA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ANN BLANKS (C E O)
(661) 254-6630
Entity
Organization
Contact information
Practice address
8207 WHITTIER BLVD, PICO RIVERA, CA 90660-2521
(562) 695-0737
(562) 695-0413
Mailing address
26460 SUMMIT CIR, SANTA CLARITA, CA 91350-2991
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
19-107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19-107
—
CA
01
—
6984
ADPA
CA
Enumeration date
05/14/2007
Last updated
10/31/2025
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