Granada, Tamara

Granada, Tamara is an individual health care provider with primary practice located at 600 Bercut Dr , Sacramento CA 95811-0131. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Interpreter. Other Service Providers / Interpreter is her primary health care specialty. Granada, Tamara can be contacted via phone (916) 440-1500.

Contact Information

Primary practice address
600 Bercut Dr Sacramento CA 95811-0131
Phone: (916) 440-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Interpreter 171R00000X

Profile Details

NPI number 1902360910
LBN Legal business name Granada, Tamara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2019
Last updated Jun 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902360910 NPPES
California MEDICAID 171M00000X

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