Individual provider · Type 1 NPI

Tabitha Tamara Black

Student in an Organized Health Care Education/Training Program · Torrance, CA

NPI number 1205448644 Active

Practice location

Harbor Ucla Dmh 1000 W Carson Street, Number 488
Torrance, CA 90502

Call (424) 306-5737 Map

Mailing address

2158 W Pacific Ave
Anaheim, CA 92804-6049

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205448644

Tabitha Tamara Black's National Provider Identifier is 1205448644, issued on Aug 18, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Torrance, CA. The record was last updated on Aug 18, 2020.