Cecilia Tafoya

Individual provider Active NPI Psychiatric Hospital Unit · Mecca, CA

NPI 1679980585 · NPPES record last updated Jul 14, 2014

Key facts

NPI
1679980585
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric Hospital Unit 273R00000X
Practice address
65057 Wolff Drive
Mecca, CA 92254
Phone
(760) 702-9758
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X CA Yes

Addresses

Primary practice location

65057 Wolff Drive
Mecca, CA 92254

Mailing address

65057 Wolff Drive
Mecca, CA 92254
Phone (760) 702-9758

Other providers in Mecca, CA

All providers in Mecca, CA · Psychiatric Hospital Unit in California

Sources for this page

Verify at the official NPI Registry.