Daisy Jae Tajalle
Rehabilitation Practitioner in Long Beach, CA. Individual provider (NPI-1).
NPI number1033723929
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1033723929
- Entity type
- Individual (NPI-1)
- Name
- Daisy Jae Tajalle
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2020
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
1501 Hughes Way Ste 150Long Beach, CA 90810-1878
Phone 310-221-6336
Mailing address
1501 Hughes Way Ste 150Long Beach, CA 90810-1878
Phone 310-221-6336
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 516 Rehabilitation Practitioner providers in Long Beach · All 16,615 providers in Long Beach
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