Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN TAVITAS, LICENSED NURSE
Active Sole ProprietorSUSAN TAVITAS, LICENSED NURSE is a Community Health Center healthcare provider located in CORONA, California. NPI 1275932477 is currently active in the NPPES registry. Verify at CMS.
Community Health Center · CORONA, CA
Registration Details
- NPI Number
- 1275932477
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2014 (11.855344070279 yrs)
- Last Updated
- Aug 14, 2014
- License
-
VN 166898 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7440 MARILYN DRCORONA, CA, 928814226Browse CA providers · Browse ZIP 92881
- Phone
- 7144889091
- Primary Specialty
-
Community Health Center
261QC1500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.