DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TIFFANY MARILYN BOUGOUMA

MEDICARE: TIFFANY MARILYN BOUGOUMA
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1942163761
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY MARILYN BOUGOUMA
Provider Business Mailing Address
First Line : 41550 ECLECTIC ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-1967
Country : US
Telephone Number : 877-205-6269
Fax Number :
Provider Business Practice Location Address
First Line : 41550 ECLECTIC ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-1967
Country : US
Telephone Number : 877-205-6269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

Similar Medicare Providers

1184588717 — SIANNA NATHASIA DUENAS
Practice Location Address:
41550 ECLECTIC ST
PALM DESERT, CA
92260-1967
Practice Phone: 760-299-5181
Practice Fax: 877-214-4220
1245194570 — MRS. JUANA LIZARDI B.A
Practice Location Address:
41550 ECLECTIC ST
PALM DESERT, CA
92260-1967
Practice Phone: 760-299-5181
Practice Fax:
1376407502 — SIRNIRA DAVIS-BURKE
Practice Location Address:
41550 ECLECTIC ST
PALM DESERT, CA
92260-1967
Practice Phone: 760-299-5181
Practice Fax: 877-214-4220
1295697142 — CHRISTINA CHAVEZ
Practice Location Address:
41550 ECLECTIC ST
PALM DESERT, CA
92260-1967
Practice Phone: 877-205-6269
Practice Fax: 877-214-4220
1285597716 — KAITLYN KAI-YEE MAK
Practice Location Address:
41550 ECLECTIC ST
PALM DESERT, CA
92260-1967
Practice Phone: 760-299-5181
Practice Fax: 877-205-6269
1053274589 — HILLARY ALVAREZ
Practice Location Address:
41550 ECLECTIC ST
PALM DESERT, CA
92260-1967
Practice Phone: 760-299-5181
Practice Fax:

Directions to “ TIFFANY MARILYN BOUGOUMA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.