Organization
TALCADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIKEE PITTMAN (PRESIDENT)
(951) 877-4009
Entity
Organization
Contact information
Practice address
41743 ENTERPRISE CIR N STE 205, TEMECULA, CA 92590-5625
(951) 877-4009
(951) 430-6022
Mailing address
41743 ENTERPRISE CIR N STE 205, TEMECULA, CA 92590-5625
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/19/2025
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