Organization
TAMIKA HENRY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA HENRY MD/OWNER (OWNER)
(323) 496-0134
Entity
Organization
Contact information
Practice address
331 ARDEN AVE STE 101, GLENDALE, CA 91203-4023
(323) 496-0134
Mailing address
4611 VINETA AVE, LA CANADA, CA 91011-2618
(323) 496-0134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
07/08/2026
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