Organization
TAVARUA REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAMESH P SHARMA (ADMINISTRAT DIRECTOR)
(661) 313-5503
Entity
Organization
Contact information
Practice address
474 S CITRUS AVE, AZUSA, CA 91702-4733
(626) 858-9500
(626) 858-9090
Mailing address
474 S CITRUS AVE, AZUSA, CA 91702-4733
(626) 858-9500
(626) 858-9090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RW4776
CA
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
10/31/2025
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