Tavitas, Susan

Tavitas, Susan is an sole proprietor health care provider with primary practice located at 7440 Marilyn Dr , Corona CA 92881-4226. She recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as her primary health care specialty. Tavitas, Susan can be contacted via phone (714) 488-9091.

Contact Information

Primary practice address
7440 Marilyn Dr Corona CA 92881-4226
Phone: (714) 488-9091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X VN 166898 California

Profile Details

NPI number 1275932477
LBN Legal business name Tavitas, Susan
Credentials LICENSED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2014
Last updated Aug 14th, 2014 - about 12 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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