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Contact Information

MAA TARA LLC
4469 N BROADMOOR AVE
COVINA, CA91722-2201
 Phone: 951-472-8077
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Laboratory Management

246QL0900X
 

Phlebotomy

246RP1900X
Indicates primary specialty

NPI Profile & details for MAA TARA LLC

NPI Number 1598554396
LBN Legal business name MAA TARA LLC
Authorized official KAMILLA ARCHUNDIA - (DIRECTOR/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2025
Last updated 05/06/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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