Organization
ANTONIO R TANPOCO, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO R TANPOCO II MD (PRESIDENT)
(707) 554-0772
Entity
Organization
Contact information
Practice address
1460 N CAMINO ALTO, SUITE 209, VALLEJO, CA 94589-2567
(707) 554-0772
(707) 554-8323
Mailing address
1460 N CAMINO ALTO, SUITE 209, VALLEJO, CA 94589-2567
(707) 554-0772
(707) 554-8323
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
00C508220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C508220
—
CA
01
—
ZZZ28109Z
MEDICARE ID
CA
Enumeration date
02/14/2007
Last updated
04/23/2008
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