Healthcare Provider Details
I. General information
NPI: 1841376415
Provider Name (Legal Business Name): SARAH TAMAI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2530H VISTA WAY
OCEANSIDE CA
92054
US
IV. Provider business mailing address
2530H VISTA WAY
OCEANSIDE CA
92054
US
V. Phone/Fax
- Phone: 760-435-9390
- Fax: 760-435-9393
- Phone: 760-435-9390
- Fax: 760-435-9393
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC27545 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: