Krishnasastry, Tara

Krishnasastry, Tara is an individual health care provider with primary practice located at 24411 Health Center Dr Ste 680 , Laguna Hills CA 92653-3692. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Krishnasastry, Tara can be contacted via phone (949) 268-4568.

Contact Information

Primary practice address
24411 Health Center Dr Ste 680 Laguna Hills CA 92653-3692
Phone: (949) 268-4568
Fax: (954) 337-0760
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA64005 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 013169 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5352 Connecticut

Profile Details

NPI number 1639313745
LBN Legal business name Krishnasastry, Tara
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2009
Last updated Feb 9th, 2024 - about 10 months 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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