Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LA TANYA GARY
Active Sole ProprietorLA TANYA GARY is a Substance Abuse Rehabilitation Facility healthcare provider located in CONCORD, California. NPI 1457803041 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · CONCORD, CA
Registration Details
- NPI Number
- 1457803041
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2016 (9.8356565691483 yrs)
- Last Updated
- Oct 29, 2016
- License
-
070001BN (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2931 PROSPECT AVECONCORD, CA, 945181025Browse CA providers · Browse ZIP 94518
- Phone
- 9256764840
- Fax
- 9256761315
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
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.