Individual provider · Type 1 NPI

Tamara Giselle Tavira

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

NPI number 1417834987 Active

Practice location

1350 3rd St
La Verne, CA 91750-5201

Call (909) 593-2581 Map

Mailing address

PO Box 400
La Verne, CA 91750-0400

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 1417834987

Tamara Giselle Tavira's National Provider Identifier is 1417834987, issued on Aug 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Verne, CA. The record was last updated on Aug 18, 2025.