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Organization

TIGALAT SHALITA D O INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIGALAT SHALITA DO (OWNER)
(818) 676-0080
Entity
Organization

Contact information

Practice address
7230 MEDICAL CENTER DR STE 202, WEST HILLS, CA 91307
(818) 676-0080
(818) 676-0090
Mailing address
PO BOX 27206, LOS ANGELES, CA 90027-0206
(818) 676-0080

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A9000
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205852316
NPI TYPE 1/INDIVIDUAL
CA
01
20A9000
LICENSE
CA
Enumeration date
08/29/2006
Last updated
03/07/2023
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