Tayag, Emmanuel Marasigan

Tayag, Emmanuel Marasigan is an individual health care provider with primary practice located at 4000 La Rica Ave Ste D , Baldwin Park CA 91706-3163. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Tayag, Emmanuel Marasigan can be contacted via phone (626) 430-9171.

Contact Information

Primary practice address
4000 La Rica Ave Ste D Baldwin Park CA 91706-3163
Phone: (626) 430-9171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 62115 California

Profile Details

NPI number 1528643632
LBN Legal business name Tayag, Emmanuel Marasigan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2021
Last updated Mar 10th, 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 1528643632 NPPES
California MEDICAID 62115

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