DR. TANDIWE MUSHONGA


Address: 621 S Virgil Ave Ste 300, Los Angeles, CA 90005-4027
Phone: 2133685401

DR. TANDIWE MUSHONGA (NPI# 1376007641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376007641
Entity Type Individual
Full Name DR. TANDIWE MUSHONGA
Credential PSYD
Practice Address 621 S Virgil Ave Ste 300
Los Angeles
CA 90005-4027
Practice Telephone 2133685401
Mailing Telephone 2133685401
Enumeration Date 2019-01-30
Last Update Date 2019-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
TBD CA Behavioral Health & Social Service Providers

Office Location

Street Address 621 S VIRGIL AVE STE 300
City LOS ANGELES
State CA
Zip Code 90005-4027

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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