Tatyana Sarkisova Md, Inc | |
3655 Lomita Blvd Ste 108 Torrance CA 90505-1902 | |
(415) 680-4544 | |
Not Available |
Full Name | Tatyana Sarkisova Md, Inc |
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Speciality | Family Medicine |
Location | 3655 Lomita Blvd Ste 108, Torrance, California |
Authorized Official Name and Position | Tatyana Sarkisova (PRESIDENT) |
Authorized Official Contact | 4156804544 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tatyana Sarkisova Md, Inc 1310 Esplanade Apt 104 Redondo Beach CA 90277-5037 Ph: (415) 680-4544 | Tatyana Sarkisova Md, Inc 3655 Lomita Blvd Ste 108 Torrance CA 90505-1902 Ph: (415) 680-4544 |
NPI Number | 1427604404 |
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Provider Enumeration Date | 08/14/2019 |
Last Update Date | 08/14/2019 |
Medicare PECOS PAC ID | 5698005007 |
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Medicare Enrollment ID | O20190927001842 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427604404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tatyana S Sarkisova |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902817182 PECOS PAC ID: 0840365557 Enrollment ID: I20090827000079 |
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