Individual
DR. MARK TAMBELLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5021 BROWER CT, GRANITE BAY, CA 95746-6742
(916) 761-9399
(916) 774-4360
Mailing address
5021 BROWER CT, GRANITE BAY, CA 95746-6742
(916) 761-9399
(916) 774-4360
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G37599
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G37599
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
09/28/2010
Last updated
09/28/2010
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