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NPI Code Detail

MEDICARE: DR. TAREK ALASIL MD

MEDICARE: DR. TAREK ALASIL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician242108MA
2207WX0107XRetina Specialist (Ophthalmology) PhysicianA108797CA
3207W00000XOphthalmology PhysicianA108797CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11760541569OTHERCAGROUP NPI

General Provider Information

NPI Number : 1003072786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAREK ALASIL MD
Provider Business Mailing Address
First Line : 100 E CALIFORNIA BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91105-3205
Country : US
Telephone Number : 626-568-8838
Fax Number : 626-574-7188
Provider Business Practice Location Address
First Line : 8616 LA TIJERA BLVD STE 404
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3950
Country : US
Telephone Number : 310-673-2020
Fax Number : 310-469-5290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2008
Last Update Date : 04/05/2021

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Directions to “ DR. TAREK ALASIL MD” Practice Location

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