TAVARUA MEDICAL & MENTAL SERVICES
NPI 1609135771
Clinic/Center - Primary Care in Lawndale, CA

Q: What is Tavarua Medical Rehabilitation Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 10, 2012

4023 MARINE AVE, LAWNDALE, CA 90260(310) 675-9555(310) 263-2415 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tavarua Medical & Mental Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAVARUA MEDICAL & MENTAL SERVICES (NPI 1609135771) is a healthcare organization registered as a primary care in Lawndale, California and active in the NPI registry since May 2012. The organization lists Stan Sharma, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1609135771

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameTAVARUA MEDICAL REHABILITATION SERVICES

Location Address4023 MARINE AVELawndale, CA 90260-1840

Mailing Address26460 Summit CirSanta Clarita, CA 91350-2991 · (661) 254-6630 · Fax (661) 254-6644

Phone(310) 675-9555

Fax(310) 263-2415

Organization SubpartNo

Authorized OfficialStan SharmaExecutive Director · (661) 254-6630

Enumeration DateMay 10, 2012

✔ NPI 1609135771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in CA · 960000644

4023 MARINE AVE, Lawndale, CA 90260

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Other Names 1

Doing Business AsTavarua Medical & Mental Services

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DELORES ICE

Counselor (Addiction (Substance Use Disorder))