Taniegra, Edna

Taniegra, Edna is an individual health care provider with primary practice located at 10725 International Dr , Rancho Cordova CA 95670-7967. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Taniegra, Edna can be contacted via phone (916) 631-3040.

Contact Information

Primary practice address
10725 International Dr Rancho Cordova CA 95670-7967
Phone: (916) 631-3040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-1490 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A56152 California

Profile Details

NPI number 1255428306
LBN Legal business name Taniegra, Edna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Dec 14th, 2021 - about 5 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 1255428306 NPPES
Arkansas MEDICAID 131710001

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