Tamayo, Joana Joy

Tamayo, Joana Joy is an individual health care provider with primary practice located at 1808 Verdugo Blvd Suite 208, Glendale CA 91208-1477. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Tamayo, Joana Joy can be contacted via phone (818) 952-5322.

Contact Information

Primary practice address
1808 Verdugo Blvd Suite 208 Glendale CA 91208-1477
Fax: (818) 952-7993
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A79900 California

Profile Details

NPI number 1235106188
LBN Legal business name Tamayo, Joana Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 9th, 2007 - about 18 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 1235106188 NPPES
California MEDICAID 0A7990000

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