Search › California › 374J00000X

Tarese Douglas, MT

NPI 1770491557 · on the registry since 2026 · sole proprietor

Practice

Address
1419 E 110th St
Los Angeles, CA 90059
Phone
(323) 371-7729

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2026-08-31

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