Tanabe, Mark K

Tanabe, Mark K is an sole proprietor health care provider with primary practice located at 595 E Colorado Blvd Ste 628 , Pasadena CA 91101-5222. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tanabe, Mark K can be contacted via phone (626) 278-2301.

Contact Information

Primary practice address
595 E Colorado Blvd Ste 628 Pasadena CA 91101-5222
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY29456 California

Profile Details

NPI number 1982958153
LBN Legal business name Tanabe, Mark K
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2012
Last updated Sep 25th, 2018 - about 8 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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