Doctor Name: | ELIA TAFOYA |
NPI Number: | 1104188168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1000 Corporate Center Dr Ste 650 Monterey Park, CA - 917547639 |
Business Phone Number: | 5628014626 |
Business Fax Number: | 5628014630 |
Mailing Address: | 1000 Corporate Center Dr Ste 650, MONTEREY PARK |
State: | CA |
Postal Code: | 917547639 |
Phone Number: | 5628014626 |
Fax Number: | 5628014630 |
NPI Enumeration Date: | 06/14/2012 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |