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

Tatum Rene Little, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1154929644

Tatum Rene Little, PHYSICIANASSISTANT is a Physician Assistant in Los Angeles, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

5326 E Beverly Blvd
Los Angeles, CA 90022-2104
Phone: (866) 590-6411
Fax: (323) 476-0397
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 58480 (CA)

Record details

NPI number1154929644
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 15, 2020
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

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