Emad Tadros Md A Prof Corp

LBN: Emad Tadros Md A Prof Corp
Emad Tadros Md A Prof Corp is an health care organization with primary practice located at 4060 Fourth Ave Ste 102 , San Diego CA 92103-2120. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Emad Tadros Md A Prof Corp can be contacted via phone (619) 692-8118, or through Tadros Md A Prof Corp, Emad G via phone (619) 692-8118.

Contact Information

Primary practice address
4060 Fourth Ave Ste 102 San Diego CA 92103-2120
Phone: (619) 692-8118
Fax: (619) 800-7385
Website:
Map and Directions
Authorized official contact:
Name: Tadros Md A Prof Corp, Emad G Doctor of Medicine (MD)
Phone: (619) 692-8118

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A49500 California

Profile Details

NPI number 1811185804
LBN Legal business name Emad Tadros Md A Prof Corp
DBA Doing business as
Authorized official Tadros Md A Prof Corp, Emad G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2007
Last updated Jun 23rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811185804 NPPES
California MEDICAID 00A495000

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