Healthcare Provider Details

I. General information

NPI: 1427169366
Provider Name (Legal Business Name): TARIN MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 02/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S MAIN ST STE 108
CORONA CA
92882-3401
US

IV. Provider business mailing address

900 S MAIN ST STE 108
CORONA CA
92882-3401
US

V. Phone/Fax

Practice location:
  • Phone: 951-734-5450
  • Fax: 951-734-6009
Mailing address:
  • Phone: 951-734-5450
  • Fax: 951-734-6009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VILAIVAN T TARIN
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 951-734-5450