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Physician Compare National (NPI:1124386685)

HEALTHCARE PROVIDER: MARLA JOANNE ROBERTSONTARPO D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1124386685
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3476860453
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20150924000027
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ROBERTSON-TARPO
Individual professional last name
Provider First Name MARLA
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name LOS ANGELES COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 2011
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 23028 LAKE FOREST DR D
Group Practice or individual's line 1 address
City LAGUNA HILLS
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 926531323
Group Practice or individual's zip code (9 digits when available)
Phone Number 9492642613
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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