Nassif, Tarek R
Nassif, Tarek R is an sole proprietor health care provider with primary practice located at 416 W Las Tunas Dr Suite #307, San Gabriel CA 91776-1236. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Nassif, Tarek R can be contacted via phone (626) 289-0130.Contact Information
Primary practice address
416 W Las Tunas Dr Suite #307
San Gabriel CA 91776-1236
Phone: (626) 289-0130
Fax: (626) 289-0171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A53919 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A53919 | California |
Profile Details
| NPI number | 1730124611 |
|---|---|
| LBN Legal business name | Nassif, Tarek R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730124611 | NPPES |
| California | MEDICAID | 00A539190 |
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