Individual
DR. BRUCE TAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10055 HIGHCLIFF DR, SANTA ANA, CA 92705-1592
(714) 633-5038
(714) 633-5038
Mailing address
10055 HIGHCLIFF DR, SANTA ANA, CA 92705-1592
(714) 633-5038
(714) 633-5038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G57211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G572110
—
CA
Enumeration date
11/03/2005
Last updated
07/08/2007
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