person
Ms. Adaljiza Tavera, PMHNP,FNP
Family Nurse Practitioner in Gardena, California
NPI 1043825193

Adaljiza Tavera is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Adaljiza Tavera practices in Gardena, CA and has the professional credentials of PMHNP,FNP. The NPI Number for Adaljiza Tavera is 1043825193 and holds a License No. NP95013634 (California).

The current practice location address for Adaljiza Tavera is 1225 W 190Th St Ste 280, Gardena, CA and can be reached out via phone at 310-515-8113 and via fax at 310-538-2102.

Location: 1225 W 190Th St Ste 280, Gardena, CA, 90031-0231
person
Provider Profile Details
NPI Number
1043825193
Provider Name
Adaljiza Tavera
Credential
PMHNP,FNP
Provider Entity Type
Individual
Gender
Female
Address
1225 W 190Th St Ste 280, Gardena, CA, 90031-0231
Phone Number
310-515-8113
Fax Number
310-538-2102
Provider Enumeration Date
09/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 W 190Th St Ste 280
City
State
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
310-538-2102
person
Provider Business Mailing Address Details
Address
1225 W 190Th St Ste 280
City
State
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
310-538-2102
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP95013634 (California)
Definition
Definition to come...
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