Tagaloa-Tulifau, Mafutaga S.

Tagaloa-Tulifau, Mafutaga S. is an sole proprietor health care provider with primary practice located at 5220 Clark Ave Suite 315, Lakewood CA 90712-2618. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Tagaloa-Tulifau, Mafutaga S. can be contacted via phone (562) 925-3055.

Contact Information

Primary practice address
5220 Clark Ave Suite 315 Lakewood CA 90712-2618
Fax: (562) 925-7371
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4193 California

Profile Details

NPI number 1962435594
LBN Legal business name Tagaloa-Tulifau, Mafutaga S.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated Jul 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962435594 NPPES
California MEDICAID 000E41930

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