Nassif, Tarek R

Nassif, Tarek R is an sole proprietor health care provider with primary practice located at 416 W Las Tunas Dr Suite #307, San Gabriel CA 91776-1236. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Nassif, Tarek R can be contacted via phone (626) 289-0130.

Contact Information

Primary practice address
416 W Las Tunas Dr Suite #307 San Gabriel CA 91776-1236
Phone: (626) 289-0130
Fax: (626) 289-0171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A53919 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A53919 California

Profile Details

NPI number 1730124611
LBN Legal business name Nassif, Tarek R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2006
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730124611 NPPES
California MEDICAID 00A539190

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