Organization
TAGALOA-TULIFAU FOOT AND ANKLE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAFUTAGA TAGALOA-TULIFAU D.P.M. (MEDICAL DIRECTOR)
(562) 925-3055
Entity
Organization
Contact information
Practice address
5220 CLARK AVE STE 315, LAKEWOOD, CA 90712-2635
(562) 925-3055
(562) 925-7371
Mailing address
5220 CLARK AVE STE 315, LAKEWOOD, CA 90712-2635
(562) 925-3055
(562) 925-7371
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4193
CA
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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