MEDICARE: TAMAI POUSHAE GILBERT

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	225400000X	Rehabilitation Practitioner
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1881984524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMAI POUSHAE GILBERT

Provider Business Mailing Address
First Line	:	1968 S COAST HWY STE 1390
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-3681
Country	:	US
Telephone Number	:	800-430-4490
Fax Number	:

Provider Business Practice Location Address
First Line	:	1968 S COAST HWY STE 1390
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-3681
Country	:	US
Telephone Number	:	800-430-4490
Fax Number	:

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

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	09/16/2025

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Directions to “ TAMAI POUSHAE GILBERT ” Practice Location

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