MEDICARE: TOMA PUIG

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1528990496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOMA PUIG

Provider Business Mailing Address
First Line	:	746 N GARFIELD AVE APT 4
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-4263
Country	:	US
Telephone Number	:	951-269-1903
Fax Number	:	951-269-1903

Provider Business Practice Location Address
First Line	:	746 N GARFIELD AVE APT 4
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-4263
Country	:	US
Telephone Number	:	951-269-1903
Fax Number	:	951-269-1903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ TOMA PUIG ” Practice Location

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