| NPI | 1679832745 |
|---|---|
| Doing Business As | TAVARUA MEDICAL & MENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | STAN SHARMA Executive Director 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA 960000644) |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health (Licence: CA 960000644) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |