Individual
TEHAUAROGA TEHIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12501 IMPERIAL HWY # 500B, NORWALK, CA 90650-3179
(562) 864-7821
Mailing address
12501 IMPERIAL HWY # 500B, NORWALK, CA 90650-3179
(562) 864-7821
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2024
Last updated
01/09/2025
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