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General NPI Number Information
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NPI Number | 1750240917
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Entity Type | Organization
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Legal Business Name | TABILA MEDICAL, PC
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 47762 MONROE ST
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City | INDIO
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State | CA
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Zip | 92201
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Country | US
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Telephone | 760-347-0750
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Fax |
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Provider Business Mailing Address
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Address Line | 1339 W WILLOW ST
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City | LONG BEACH
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State | CA
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Zip | 90810-3116
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTINA TABILA-GUGLIELMI
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Credential | MD
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Telephone | 310-283-9864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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