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Tanya Gautam

NPI 1639050545 · on the registry since 2025

Practice

Address
615 E 3rd St Unit 442
Pomona, CA 91766
Phone
(858) 395-8852
Clinicians at this address
13

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-09

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