Tabladillo, Paul

Tabladillo, Paul is an sole proprietor health care provider with primary practice located at 100 W California Blvd , Pasadena CA 91105-3010. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Tabladillo, Paul can be contacted via phone (626) 397-5111.

Contact Information

Primary practice address
100 W California Blvd Pasadena CA 91105-3010
Phone: (626) 397-5111
Fax: (818) 889-9801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95021313 California

Profile Details

NPI number 1396453783
LBN Legal business name Tabladillo, Paul
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2022
Last updated Jun 12th, 2023 - about 3 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 1396453783 NPPES
California Other 95021313 CA BRN

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