Pudol, Marilyn Tadiaman
Pudol, Marilyn Tadiaman is an sole proprietor health care provider with primary practice located at 2101 Rosecrans Ave # 3230 , El Segundo CA 90245-4749. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pudol, Marilyn Tadiaman can be contacted via phone (323) 628-8671.Contact Information
Primary practice address
2101 Rosecrans Ave # 3230
El Segundo CA 90245-4749
Phone: (323) 628-8671
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95008725 | California |
Profile Details
| NPI number | 1720573439 |
|---|---|
| LBN Legal business name | Pudol, Marilyn Tadiaman |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2018 |
| Last updated | Oct 24th, 2019 - about 7 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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