Organization
MAFUTAGA S. TAGALOA-TULIFAU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAFUTAGA S. TAGALOA-TULIFAU (OWNER)
(562) 925-3055
Entity
Organization
Contact information
Practice address
5220 CLARK AVE, SUITE 315, LAKEWOOD, CA 90712-2618
(562) 925-3055
Mailing address
5220 CLARK AVE, SUITE 315, LAKEWOOD, CA 90712-2618
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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