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Organization

TARIN MEDICAL CORPORATION

Active
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Organization

TARIN MEDICAL CORPORATION

Active
Parent organization
TARIN MEDICAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
TARIN MEDICAL CORPORATION
Authorized official
DR. VILAIVAN T TARIN M.D. (PHYSICIAN)
(951) 734-5450
Entity
Organization

Contact information

Practice address
900 S MAIN ST STE 108, CORONA, CA 92882-3401
(951) 734-5450
(951) 734-6009
Mailing address
900 S MAIN ST STE 108, CORONA, CA 92882-3401
(951) 734-5450
(951) 734-6009

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
208000000X
Pediatrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A31855
MEDICARE PTAN
CA
01
CD320A
MEDICARE PTAN
CA
01
GR0046400
MEDI-CAL
CA
Enumeration date
08/31/2006
Last updated
02/22/2012
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