Tadeo, Martin Moises

Tadeo, Martin Moises is an individual health care provider with primary practice located at 2731 Nugget Ave , Lake Isabella CA 93240. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Tadeo, Martin Moises can be contacted via phone (760) 379-3412.

Contact Information

Primary practice address
2731 Nugget Ave Lake Isabella CA 93240
Phone: (760) 379-3412
Fax: (760) 379-5332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1811659162
LBN Legal business name Tadeo, Martin Moises
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2021
Last updated Sep 20th, 2023 - 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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