Individual provider · Type 1 NPI

Adaljiza Tavera, PMHNP, FNP

Family Nurse Practitioner · Gardena, CA

NPI number 1043825193 Active

Practice location

1225 W 190th St Ste 280
Gardena, CA 90248-4305

Fax (310) 538-2102

Mailing address

PO Box 31231
Los Angeles, CA 90031-0231

Other practice locations

  • 14541 Delano St, Van Nuys, CA 91411-2820 · (310) 515-8113

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP95013634 (CA)

Family Nurse Practitioner: Definition to come...

92 other providers at this address

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About NPI 1043825193

Adaljiza Tavera, PMHNP, FNP's National Provider Identifier is 1043825193, issued on Sep 14, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gardena, CA. The record was last updated on Sep 14, 2020.