Tackson Tam is a Internal Medicine in Orange, California. Tackson Tam practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Tackson Tam is 1548239635. The last update date is 2021-11-11.
Tackson Tam's current location address is 1010 W La Veta Ave Ste 750, Orange, California. You can contact this provider via phone number 7143616600 and fax number 7149198804. The mailing address for Tackson Tam is 1010 W La Veta Ave Ste 750, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tackson Tam |
|---|---|
| Address | 1010 W La Veta Ave Ste 750, Orange, California |
| Phone Number | 7143616600 |
| Fax Number | 7149198804 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1548239635 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2021-11-11 |
Provider Mailing Address Detail
| Address | 1010 W La Veta Ave Ste 750 |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 928684312 |
| Phone Number | 7143616600 |
| Fax Number | 7149198804 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | G70073 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1912919804 | CA | MEDI-CAL | |
| 110200071 | CA | RAIL ROAD MEDICARE - PROVIDER | |
| 1912919804 | CA | NPI - TYPE 2 | |
| CG5665 | CA | RAIL ROAD MEDICARE - GROUP PTA | |
| W1514 | CA | MEDICARE PTAN - TYPE 2 |
Post Comment/ Review Below
What is the Tackson Tam's 1548239635?
The Tackson Tam's NPI (National Provider Identifier) Number is 1548239635. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tackson Tam's facilities are geographically located?
The facilities of Tackson Tam are physically situated at the following location: 1010 W La Veta Ave Ste 750, Orange, CA, 928684312.
What is Tackson Tam's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tackson Tam is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Tackson Tam receive its 1548239635 assignment from the Centers for Medicare & Medicaid Services?
The Tackson Tam was assigned its 1548239635 by the Centers for Medicare & Medicaid Services on 2006-03-14.
As of what date were the details related to Tackson Tam most recently updated or revised?
The information pertaining to Tackson Tam, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-11.