institution
Tavarua Medical Rehabilitation Services
Substance Use Disorder Rehabilitation Clinic/Center in Azusa, California
NPI 1184990814

Tavarua Medical Rehabilitation Services is a Substance Use Disorder Rehabilitation Clinic/Center based in Santa Clarita, CA and is specialized in Rehabilitation, Substance Use Disorder. Tavarua Medical Rehabilitation Services practices in Azusa, CA. The NPI Number for Tavarua Medical Rehabilitation Services is 1184990814 and holds a License No. (California).

The current practice location address for Tavarua Medical Rehabilitation Services is 474 S Citrus Ave, Azusa, CA and can be reached out via phone at 626-858-9500 and via fax at 626-858-9090. You can also correspond with Tavarua Medical Rehabilitation Services through the mailing address at 26460 SUMMIT CIR, SANTA CLARITA, CA - 91350-2991 (mailing address contact number: 661-254-6630).

Location: 474 S Citrus Ave, Azusa, CA, 91350-2991
institution
Provider Profile Details
NPI Number
1184990814
Provider Name
Tavarua Medical Rehabilitation Services
Credential
Provider Entity Type
Organization
Address
474 S Citrus Ave, Azusa, CA, 91350-2991
Phone Number
626-858-9500
Fax Number
626-858-9090
Provider Enumeration Date
03/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19CQ 05 CA
19-126 01 CA STATE NTP LICENSE
institution
Provider Business Practice Location Address Details
Address
474 S Citrus Ave
City
State
Zip
91702-4733
Phone Number
626-858-9500
Fax Number
626-858-9090
person
Provider Business Mailing Address Details
Address
474 S Citrus Ave
City
State
Zip
91702-4733
Phone Number
626-858-9500
Fax Number
626-858-9090
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
19-126 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
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