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Search › California › 225200000X

Juan Tamayo

NPI 1922856723 · on the registry since 2024 · sole proprietor

Practice

Address
5901 W Century Blvd
Los Angeles, CA 90045
Phone
(310) 215-6020
Organisation at this address
I Am 1112
Wound Pros Iowa
Wound Pros Idaho
Wound Pros Maine
Wound Pros Alaska
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-08

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