# DALEL TARTAK M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396090841
- **Authorized official:** MS. DALEL TARTAK M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (714) 271-2291

## Contact information

- **Practice address:** 17980 CASTLETON ST UNIT 1, CITY OF INDUSTRY, CA 91748-1851
- **Practice address phone:** (626) 854-0148
- **Practice address fax:** (626) 820-1180
- **Mailing address:** 17980 CASTLETON ST UNIT 1, CITY OF INDUSTRY, CA 91748-1851
- **Mailing address phone:** (626) 854-0148
- **Mailing address fax:** (626) 820-1180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G63313 | CA | Yes |

## Other

- **Enumeration date:** 07/20/2012
- **Last updated:** 07/20/2012