Tarakji, Elias Albert

Tarakji, Elias Albert is an individual health care provider with primary practice located at 488 E Santa Clara St Suite 103, Arcadia CA 91006-7231. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tarakji, Elias Albert can be contacted via phone (626) 359-3330.

Contact Information

Primary practice address
488 E Santa Clara St Suite 103 Arcadia CA 91006-7231
Phone: (626) 359-3330
Fax: (626) 359-3339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A61002 California

Profile Details

NPI number 1467454835
LBN Legal business name Tarakji, Elias Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Dec 16th, 2010 - about 16 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 1467454835 NPPES
California MEDICAID 00A610020

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