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1457565889 NPI number — CAN MUSTAFA TAMKOC M.D.

NPI Number: 1457565889
Health Care Provider/Practitioner: CAN MUSTAFA TAMKOC M.D.

Information about “1457565889” NPI (CAN MUSTAFA TAMKOC M.D.) exists in 1457565889 in HTML format HTML  |  1457565889 in plain Text format TXT  |  1457565889 in PDF (Portable Document Format) PDF  |  1457565889 in an XML format XML  formats.

NPI Number : 1457565889 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457565889",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAMKOC",
    "FirstName": "CAN",
    "MiddleName": "MUSTAFA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TAMKOC",
    "OtherFirstName": "JOHN",
    "OtherMiddleName": "MUSTAFA",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "37 SHAMAN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IRVINE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92618-8810",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-540-3495",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "22032 EL PASEO STE 130",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RANCHO SANTA MARGARITA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92688-3947",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-729-5079",
    "PracticeLocationAddressFaxNumber": "909-729-5081",
    "EnumerationDate": "05/08/2007",
    "LastUpdateDate": "12/05/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "TRN 8171",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "A100094",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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