Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maa Tara LLC

Organization Laboratory Management Specialist/Technologist · NPI 1598554396

Maa Tara LLC is a Laboratory Management Specialist/Technologist in Covina, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4469 N Broadmoor Ave
Covina, CA 91722-2201
Phone: (951) 472-8077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Laboratory Management Specialist/Technologist Taxonomy 246QL0900X
Phlebotomy Technician Taxonomy 246RP1900X

Record details

NPI number1598554396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamilla Archundia — Director/Ceo · (951) 472-8077
NPI enumeratedMay 6, 2025
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address200 E Rowland St Unit 2104, Covina, CA 91723-3146