IndividualActive
Adaljiza Tavera, PMHNP, FNP
NPI 1043825193 · Family Nurse Practitioner · Gardena, CA
Provider details
- NPI number
- 1043825193
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP, FNP
- Sex
- Female
- Sole proprietor
- No
- License
- NP95013634 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1225 W 190th St Ste 280
Gardena, CA 90248-4305
Phone: (310) 515-8113
Fax: (310) 538-2102
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31231
Los Angeles, CA 90031-0231
Additional practice locations (1)
- 14541 Delano StVan Nuys, CA 91411-2820Phone: (310) 515-8113
Registry dates
- Enumerated
- 2020-09-14
- Last updated
- 2020-09-14
- Certified
- 2020-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.