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NPI Code Detail

MEDICARE: MAJURIE TABLANTE M.D.

MEDICARE: MAJURIE TABLANTE M.D.
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
1207L00000XAnesthesiology PhysicianA37846CA

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 : 1467461749
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAJURIE TABLANTE M.D.
Provider Business Mailing Address
First Line : PO BOX 4259
Second Line :
City : CERRITOS
State : CA
Zip : 90703-4259
Country : US
Telephone Number : 562-407-2080
Fax Number :
Provider Business Practice Location Address
First Line : 1145 W REDONDO BEACH BLVD
Second Line :
City : GARDENA
State : CA
Zip : 90247-3511
Country : US
Telephone Number : 562-407-2080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 02/27/2008

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Directions to “ MAJURIE TABLANTE M.D.” Practice Location

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