Montecillo, Marc Lorenz Tagorda

Montecillo, Marc Lorenz Tagorda is an sole proprietor health care provider with primary practice located at 43112 15Th St W , Lancaster CA 93534-6219. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Montecillo, Marc Lorenz Tagorda can be contacted via phone (661) 723-2442.

Contact Information

Primary practice address
43112 15Th St W Lancaster CA 93534-6219
Phone: (661) 723-2442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A132024 California

Profile Details

NPI number 1326305962
LBN Legal business name Montecillo, Marc Lorenz Tagorda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2012
Last updated Oct 26th, 2021 - about 5 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.

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