Christopher Grant Tarrant, RN | |
13651 Willard St, Los Angeles, CA 91402 | |
(833) 574-2273 | |
Not Available |
Full Name | Christopher Grant Tarrant |
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Gender | Male |
Speciality | Registered Nurse |
Location | 13651 Willard St, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174204291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95035877 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Christopher Grant Tarrant, RN 401 E California Blvd Apt 104, Pasadena, CA 91106-3794 Ph: (805) 236-8302 | Christopher Grant Tarrant, RN 13651 Willard St, Los Angeles, CA 91402 Ph: (833) 574-2273 |
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