Individual
JANELLE TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4795 OPAL CLIFF DR, SANTA CRUZ, CA 95062-5229
(831) 464-8694
(831) 464-2641
Mailing address
815 TRINKLING CREEK DR, FELTON, CA 95018-8928
(831) 278-1326
(831) 464-2641
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44CF
MEDI-CAL PRV NBR
CA
Enumeration date
07/08/2014
Last updated
04/25/2025
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