Tagle, Amanda
Tagle, Amanda is an individual health care provider with primary practice located at 7215 55Th Street , Sacramento CA 95823-2601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tagle, Amanda can be contacted via phone (916) 399-1100.Contact Information
Primary practice address
7215 55Th Street
Sacramento CA 95823-2601
Phone: (916) 399-1100
Fax: (877) 860-2397
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A60188 | California |
Profile Details
NPI number | 1457367179 |
---|---|
LBN Legal business name | Tagle, Amanda |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2006 |
Last updated | Mar 30th, 2018 - about 6 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 | 1457367179 | NPPES |
California | Other | P01288574/ DS9933 | RAILROAD MEDICARE- 55TH ST |
California | Other | 00A601880 | RAILROAD MEDICARE- 55TH ST |
California | Other | P01453275-DV5277 | RAILROAD MEDICARE- 55TH ST |
California | MEDICAID | 00A601880 | RAILROAD MEDICARE- 55TH ST |
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