Organization
TAVARUA MEDICAL REHABILITATION SERVICES
Active
Other names
TAVARUA MEDICAL & MENTAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN RAMANAND SHARMA (EXECUTIVE DIRECTOR)
(661) 254-6630
Entity
Organization
Contact information
Practice address
8207 WHITTIER BLVD, PICO RIVERA, CA 90660-2521
(562) 692-2522
(562) 695-0413
Mailing address
PO BOX 801809, VALENCIA, CA 91380-1809
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
960000644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6984
—
CA
05
—
CMM70445
—
CA
05
—
EAP70445F
—
CA
05
—
HDC70018F
—
CA
Enumeration date
11/07/2006
Last updated
01/31/2017
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