Search › California › 1041C0700X
Phillip Tardanico, LCSW 69611
NPI 1063871291 · on the registry since 2016
Practice
- Address
- 15000 Seventh St Ste 209
Victorville, CA 92395 - Phone
- (760) 217-9527
- Fax
- (442) 267-5623
- Organisation at this address
- Mojave Chiropractic
Satori Specialty PharmacyInferred from a shared address, not stated in the registry.
Additional practice sites
- 1738 N Waterman Ave Ste 3, San Bernardino, CA
- 15000 Seventh St Ste 203, Victorville, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California