Individual provider · Type 1 NPI
Tanya Marie Cariveau, PA-C
Surgical Physician Assistant · Santa Monica, CA
NPI number
1457494197
Active
Practice location
2020 Santa Monica Blvd Dept Ste 400
Santa Monica, CA 90404-2023
Mailing address
11662 Iowa Ave
Los Angeles, CA 90025-4039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | PA17796 (CA) |
| Surgical Physician Assistant Primary | 363AS0400X | PA17796 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1457494197
Tanya Marie Cariveau, PA-C's National Provider Identifier is 1457494197, issued on Feb 14, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Santa Monica, CA. The record was last updated on Apr 29, 2022.