Tablizo, Mary Anne Arcilla

Tablizo, Mary Anne Arcilla is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Tablizo, Mary Anne Arcilla can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A76613 California
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X A76613 California
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X A76613 California

Profile Details

NPI number 1295889905
LBN Legal business name Tablizo, Mary Anne Arcilla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated May 6th, 2024 - about last year

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 1295889905 NPPES
California Other A76613 STATE LICENSE NUMBER
California Other GR0103350 STATE LICENSE NUMBER

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