Vera Tapia, Edgard Mario

Vera Tapia, Edgard Mario is an sole proprietor health care provider with primary practice located at 17207 Jasmine St 2, Victorville CA 92395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Vera Tapia, Edgard Mario can be contacted via phone (760) 780-4179.

Contact Information

Primary practice address
17207 Jasmine St 2 Victorville CA 92395
Phone: (760) 780-4179
Fax: (760) 241-4591
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A79177 California

Profile Details

NPI number 1235127515
LBN Legal business name Vera Tapia, Edgard Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2005
Last updated Nov 20th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235127515 NPPES
Nevada MEDICAID 10050B175
Nevada MEDICAID 00A791770
Nevada MEDICAID 1871734921
Nevada MEDICAID 1235127515

Popular Providers