Individual
MS. FOYA TAVANGARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
425 S PACIFIC AVE, SAN PEDRO, CA 90731-2625
(310) 547-0202
Mailing address
407 N BROADWAY APT 3, REDONDO BEACH, CA 90277-2807
(503) 970-6687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61821
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/05/2022
Last updated
10/16/2024
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