Organization
ALISON TATE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON L TATE M.D. (PHYSICIAN OWNER)
(626) 397-5870
Entity
Organization
Contact information
Practice address
10 CONGRESS ST, SUITE 300, PASADENA, CA 91105-3045
(626) 397-5870
(626) 397-5872
Mailing address
10 CONGRESS ST, PASADENA, CA 91105-3045
(626) 397-5870
(626) 597-5872
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
A107896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326204207
INDIVIDUAL NPI
—
01
—
A107896
MEDICAL LICENSE
CA
Enumeration date
08/16/2012
Last updated
01/25/2013
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