Healthcare Provider Details

I. General information

NPI: 1780116848
Provider Name (Legal Business Name): MICHAEL TARKEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10251 ARTESIA BLVD
BELLFLOWER CA
90706-6719
US

IV. Provider business mailing address

10251 ARTESIA BLVD
BELLFLOWER CA
90706-6719
US

V. Phone/Fax

Practice location:
  • Phone: 562-867-8681
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number125071432
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number192306
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: