Healthcare Provider Details

I. General information

NPI: 1831025600
Provider Name (Legal Business Name): CLAIRE LALU TUMALAD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7121 WOODLEY AVE APT 422
VAN NUYS CA
91406-3984
US

IV. Provider business mailing address

7121 WOODLEY AVE APT 422
VAN NUYS CA
91406-3984
US

V. Phone/Fax

Practice location:
  • Phone: 818-261-4262
  • Fax:
Mailing address:
  • Phone: 818-261-4262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberAT8134
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: