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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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