Individual
DR. MAFUTAGA S. TAGALOA-TULIFAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
5220 CLARK AVE, SUITE 315, LAKEWOOD, CA 90712-2618
(562) 925-3055
(562) 925-7371
Mailing address
5220 CLARK AVE, SUITE 315, LAKEWOOD, CA 90712-2618
(562) 925-3055
(562) 925-7371
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E41930
—
CA
Enumeration date
07/08/2006
Last updated
07/09/2015
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