MEDICARE: DR. GILLES HENRY TARQUIN DC/PT

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
1	111N00000X	Chiropractor	DC21819	CA
2	225100000X	Physical Therapist	PT21819	CA

General Provider Information

NPI Number	:	1063494755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILLES HENRY TARQUIN DC/PT

Provider Business Mailing Address
First Line	:	3107 CARLSEN ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602-4036
Country	:	US
Telephone Number	:	510-525-1640
Fax Number	:	510-525-1640

Provider Business Practice Location Address
First Line	:	6500 FAIRMOUNT AVE
Second Line	:	SUITE 7B
City	:	EL CERRITO
State	:	CA
Zip	:	94530-3623
Country	:	US
Telephone Number	:	510-682-3626
Fax Number	:	510-525-1640

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	03/08/2026

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