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NPI Code Detail

MEDICARE: HAROLD L. TARLETON, M.D., INC.

MEDICARE: HAROLD L. TARLETON, M.D., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianC32824CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144223488
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAROLD L. TARLETON, M.D., INC.
Provider Business Mailing Address
First Line : PO BOX 14038
Second Line :
City : PALM DESERT
State : CA
Zip : 92255-4038
Country : US
Telephone Number : 760-836-0708
Fax Number : 760-776-4293
Provider Business Practice Location Address
First Line : 72301 COUNTRY CLUB DR STE 106
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-8007
Country : US
Telephone Number : 760-836-0708
Fax Number : 760-776-4293
Authorized Official
Title or Position : PRESIDENT
Name : DR. HAROLD L. TARLETON
Credential : M.D.
Telephone Number : 760-836-0708
Provider Enumeration Date : 05/31/2005
Last Update Date : 02/26/2025

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Directions to “HAROLD L. TARLETON, M.D., INC. ” Practice Location

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