Tagle, Bruce

Tagle, Bruce is an individual health care provider with primary practice located at 10055 Highcliff Dr , Santa Ana CA 92705-1592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tagle, Bruce can be contacted via phone (714) 633-5038.

Contact Information

Primary practice address
10055 Highcliff Dr Santa Ana CA 92705-1592
Phone: (714) 633-5038
Fax: (714) 633-5038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G57211 California

Profile Details

NPI number 1548251895
LBN Legal business name Tagle, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1548251895 NPPES
California MEDICAID 00G572110

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