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

Tavarua Medical Rehabilitation Services

Organization Methadone Clinic · NPI 1184990814

Tavarua Medical Rehabilitation Services is a Methadone Clinic in Azusa, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

474 S Citrus Ave
Azusa, CA 91702-4733
Phone: (626) 858-9500
Fax: (626) 858-9090
Show map & directions

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

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence 19-126 (CA)
Methadone Clinic Taxonomy 261QM2800X

Record details

NPI number1184990814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Blanks — Executive Director · (661) 254-6630
Other names Azusa Medical And Mental Health Services
NPI enumeratedMarch 27, 2012
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address26460 Summit Cir, Santa Clarita, CA 91350-2991

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