MEDICARE: THIEN T TARIN MD

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
1	207L00000X	Anesthesiology Physician	A31855	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CC021Z	OTHER	CA	MEDICARE PTAN
3	CC021X	OTHER	CA	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1467496448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THIEN T TARIN MD

Provider Business Mailing Address
First Line	:	PO BOX 775
Second Line	:	12900A GARDEN GROVE BLVD STE #122
City	:	GARDEN GROVE
State	:	CA
Zip	:	92842
Country	:	US
Telephone Number	:	714-636-0342
Fax Number	:	714-636-0391

Provider Business Practice Location Address
First Line	:	12900A GARDEN GROVE BLVD
Second Line	:	STE #122
City	:	GARDEN GROVE
State	:	CA
Zip	:	92842
Country	:	US
Telephone Number	:	714-636-0342
Fax Number	:	714-636-0391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	12/05/2013

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Directions to “ THIEN T TARIN MD” Practice Location

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