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NPI Code Detail

MEDICARE: REBECCA TAFOYA

MEDICARE: REBECCA TAFOYA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation PractitionerCA
2172V00000XCommunity Health Worker
3101YA0400XAddiction (Substance Use Disorder) CounselorA022260316CA

General Provider Information

NPI Number : 1548742596
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA TAFOYA
Provider Business Mailing Address
First Line : 3609 10TH AVE FL 1
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-4114
Country : US
Telephone Number : 323-298-3680
Fax Number : 323-292-0053
Provider Business Practice Location Address
First Line : 3609 10TH AVE FL 1
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-4114
Country : US
Telephone Number : 323-298-3680
Fax Number : 323-292-0053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2018
Last Update Date : 09/18/2025

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Practice Fax:
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Directions to “ REBECCA TAFOYA ” Practice Location

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