Organization · Type 2 NPI
Tavarua Medical Rehabilitation Services
Substance Use Disorder Rehabilitation Clinic/Center · Azusa, CA
NPI number
1184990814
Active
Practice location
474 S Citrus Ave
Azusa, CA 91702-4733
Fax (626) 858-9090
Mailing address
26460 Summit Cir
Santa Clarita, CA 91350-2991
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 19-126 (CA) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
10 other providers at this address
- Tavarua Medical Rehabilitation ServicesMethadone Clinic Azusa, CA NPI 1679848568
- Tavarua Rehabilitation ServicesMethadone Clinic Azusa, CA NPI 1841679131
- Brenda DominguezLicensed Vocational Nurse Azusa, CA NPI 1215854112
- Cruz Salcido Ortega Jr.Counselor Azusa, CA NPI 1801354212
- Dora Saldana, LPTLicensed Psychiatric Technician Azusa, CA NPI 1669823795
- Ivelisse JourdainLicensed Vocational Nurse Azusa, CA NPI 1295406528
- Jason Harold CoxRehabilitation Counselor Azusa, CA NPI 1649515255
- Nora Guzman CepedaAddiction (Substance Use Disorder) Counselor Azusa, CA NPI 1194370866
- Stephan J. ZaragozaAddiction (Substance Use Disorder) Counselor Azusa, CA NPI 1144961269
- Yvette Grace TrejoAddiction (Substance Use Disorder) Counselor Azusa, CA NPI 1669027256
About NPI 1184990814
Tavarua Medical Rehabilitation Services's National Provider Identifier is 1184990814, issued on Mar 27, 2012. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Azusa, CA. The record was last updated on Oct 31, 2025.