Provider Demographics
NPI:1760357610
Name:MAUGA, TAFILELE PALEPOI JR
Entity type:Individual
Prefix:MR
First Name:TAFILELE
Middle Name:PALEPOI
Last Name:MAUGA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3866 CIVIC CENTER DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-7524
Mailing Address - Country:US
Mailing Address - Phone:702-971-6450
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:3866 CIVIC CENTER DR
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-7524
Practice Address - Country:US
Practice Address - Phone:702-971-6450
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV247200000X, 171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other