Healthcare Provider Details

I. General information

NPI: 1114125796
Provider Name (Legal Business Name): JOSHUA HOWLAND TAMAYO-SARVER M.D., PH. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOSHUA HOWLAND SARVER M.D., PH.D.

II. Dates (important events)

Enumeration Date: 07/05/2007
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W CARSON ST DEPT OF EMERGENCY MEDICINE, BOX 21
TORRANCE CA
90502-2004
US

IV. Provider business mailing address

2100 POWELL ST STE 900
EMERYVILLE CA
94608-1844
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-3501
  • Fax: 310-782-1763
Mailing address:
  • Phone: 510-851-7423
  • Fax: 510-879-9120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA97037
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: