Healthcare Provider Details

I. General information

NPI: 1588043814
Provider Name (Legal Business Name): TAMI INBAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAMI ALKOSSER

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 BAKER ST STE 103
COSTA MESA CA
92626-4105
US

IV. Provider business mailing address

1190 BAKER ST STE 103
COSTA MESA CA
92626-4105
US

V. Phone/Fax

Practice location:
  • Phone: 714-668-2525
  • Fax: 714-668-2530
Mailing address:
  • Phone: 714-668-2525
  • Fax: 714-668-2530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA147246
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberA147246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: