Provider Demographics
NPI:1619726908
Name:TLABRECOVERY INC
Entity type:Organization
Organization Name:TLABRECOVERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CATANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALAVITTA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:714-292-4843
Mailing Address - Street 1:1025 ORTEGA WAY STE B
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-7174
Mailing Address - Country:US
Mailing Address - Phone:657-220-4511
Mailing Address - Fax:
Practice Address - Street 1:1025 ORTEGA WAY STE B
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-7174
Practice Address - Country:US
Practice Address - Phone:657-220-4511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty