Brown, Tara L
Brown, Tara L is an sole proprietor health care provider with primary practice located at 11770 Bernardo Plaza Court Suite 315, San Diego CA 92128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Brown, Tara L can be contacted via phone (858) 487-5090.Contact Information
Primary practice address
11770 Bernardo Plaza Court Suite 315
San Diego CA 92128
Phone: (858) 487-5090
Fax: (619) 460-2184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A85440 | California |
Profile Details
| NPI number | 1356430797 |
|---|---|
| LBN Legal business name | Brown, Tara L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jan 25th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356430797 | NPPES |
| California | Other | 0802380001 | MEDICARE DME |
| California | Other | 0802400001 | MEDICARE DME |
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