Tafoya, Rita Karen

Tafoya, Rita Karen is an individual health care provider with primary practice located at 9401 Long Beach Blvd , South Gate CA 90280-4144. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tafoya, Rita Karen can be contacted via phone (323) 582-8612.

Contact Information

Primary practice address
9401 Long Beach Blvd South Gate CA 90280-4144
Phone: (323) 582-8612
Fax: (323) 567-9784
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA11452 California

Profile Details

NPI number 1467567370
LBN Legal business name Tafoya, Rita Karen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467567370 NPPES
California Other PA11452 PA LICENSE
California Other N0515147 PA LICENSE

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