Jesse Ray Tarin, LVN is a
Licensed Practical Nurse based in Lake Forest, California. Jesse Ray Tarin is licensed to practice in California (license number 289991) and his current practice location is
23155 Guinea St, Lake Forest, California. He can be reached at his office (for appointments etc.) via phone at
(949) 922-9843.
NPI number for Jesse Ray Tarin is 1730782665 and his current mailing address is 23155 Guinea St, Lake Forest, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730782665.
Provider's Profile
| Full Name | Jesse Ray Tarin |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 23155 Guinea St, Lake Forest, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730782665
- Provider Enumeration Date: 11/21/2020
- Last Update Date: 11/21/2020
Medical Identifiers
Medical identifiers for Jesse Ray Tarin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730782665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 289991 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesse Ray Tarin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jesse Ray Tarin, LVN
23155 Guinea St,
Lake Forest, CA 92630-3829
Ph: (949) 922-9843 | Jesse Ray Tarin, LVN
23155 Guinea St,
Lake Forest, CA 92630-3829
Ph: (949) 922-9843 |
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