Park, Tari Y
Park, Tari Y is an individual health care provider with primary practice located at 250 E Chase Ave 108, El Cajon CA 92020-6305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Park, Tari Y can be contacted via phone (619) 442-2560.Contact Information
Primary practice address
250 E Chase Ave 108
El Cajon CA 92020-6305
Phone: (619) 442-2560
Fax: (619) 442-7836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A74537 | California |
Profile Details
| NPI number | 1285669085 |
|---|---|
| LBN Legal business name | Park, Tari Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Feb 1st, 2011 - about 13 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 | 1285669085 | NPPES |
| California | Other | A74537 | MD LICENSE |
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