SearchCalifornia363LP2300X

Tabitha Indries

NPI 1639602766 · on the registry since 2017

Practice

Address
25671 Padua Dr
Laguna Hills, CA 92653
Phone
(949) 903-2700

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Also registered as
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California