Tagle, Bruce
Tagle, Bruce is an individual health care provider with primary practice located at 10055 Highcliff Dr , Santa Ana CA 92705-1592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tagle, Bruce can be contacted via phone (714) 633-5038.Contact Information
Primary practice address
10055 Highcliff Dr
Santa Ana CA 92705-1592
Phone: (714) 633-5038
Fax: (714) 633-5038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G57211 | California |
Profile Details
| NPI number | 1548251895 |
|---|---|
| LBN Legal business name | Tagle, Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548251895 | NPPES |
| California | MEDICAID | 00G572110 |
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