Individual
MARY ANNE ARCILLA TABLIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A76613
CA
2080P0214X
Pediatric Pulmonology Physician
Primary
A76613
CA
2080S0012X
Pediatric Sleep Medicine Physician
A76613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A76613
STATE LICENSE NUMBER
CA
01
—
GR0103350
GROUP PROVIDER NUMBER
CA
Enumeration date
01/22/2007
Last updated
05/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us