Individual
JAMES MICHAEL TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1045 ATLANTIC AVE STE 506, LONG BEACH, CA 90813-3414
(562) 432-9911
(562) 391-0180
Mailing address
1045 ATLANTIC AVE STE 1004, LONG BEACH, CA 90813-3423
(562) 432-9911
(562) 391-0180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A117856
CA
2086S0102X
Surgical Critical Care Physician
A117856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A117856
STATE LICENSE NUMBER
CA
Enumeration date
11/11/2011
Last updated
09/26/2023
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