Provider Demographics
NPI:1740054899
Name:TAMADE INC.
Entity type:Organization
Organization Name:TAMADE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-889-1132
Mailing Address - Street 1:1800 LOMA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-3904
Mailing Address - Country:US
Mailing Address - Phone:323-545-3659
Mailing Address - Fax:
Practice Address - Street 1:1800 LOMA VISTA ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-3904
Practice Address - Country:US
Practice Address - Phone:323-545-3659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty