Grace Tandoc Martin in Santa Rosa - Pediatrics
Grace Tandoc Martin - NPI 1356454086
Grace Tandoc Martin is a Pediatrics in Santa Rosa, California. Grace Tandoc Martin practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Grace Tandoc Martin is 1356454086. The last update date is 2022-09-27.
Grace Tandoc Martin's current location address is 500 Doyle Park Dr, Santa Rosa, California. You can contact this provider via phone number 7075446090 and fax number 7075442389. The mailing address for Grace Tandoc Martin is 500 Doyle Park Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Tandoc Martin |
|---|---|
| Address | 500 Doyle Park Dr, Santa Rosa, California |
| Phone Number | 7075446090 |
| Fax Number | 7075442389 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1356454086 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2022-09-27 |
Provider Mailing Address Detail
| Address | 500 Doyle Park Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054558 |
| Phone Number | 7075446090 |
| Fax Number | 7075442389 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | A83664 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0061380 | CA | -- |
Post Comment/ Review Below
What is the Grace Tandoc Martin's unique identification number?
The Grace Tandoc Martin has been assigned the NPI (National Provider Identifier) Number 1356454086 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Grace Tandoc Martin is physically located?
The Grace Tandoc Martin is physically situated at the following address: 500 Doyle Park Dr, Santa Rosa, CA, 954054558.
What is Grace Tandoc Martin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Grace Tandoc Martin is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356454086 to Grace Tandoc Martin?
The Centers for Medicare & Medicaid Services originally issued the 1356454086 to Grace Tandoc Martin on 2006-08-16.
As of what date were the Grace Tandoc Martin's details last updated?
The information pertaining to the Grace Tandoc Martin, including its address, specialty, and other details, was most recently updated on 2022-09-27.
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