Individual
BRUCE R TAMMELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 SUPERIOR AVE STE 200A, NEWPORT BEACH, CA 92663-3664
(949) 764-8074
(949) 764-4241
Mailing address
510 SUPERIOR AVE STE 200A, NEWPORT BEACH, CA 92663-3664
(949) 764-8070
(949) 764-4241
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
A30439
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
A30439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A304390
—
CA
Enumeration date
01/03/2006
Last updated
03/30/2026
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