Edward Tagge is a Pediatric Surgery in Loma Linda, California. Edward Tagge practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Edward Tagge is 1255446100. The last update date is 2007-09-05.
Edward Tagge's current location address is 11175 Campus St, Loma Linda, California. You can contact this provider via phone number 9095584619 and fax number 9095587978. The mailing address for Edward Tagge is 11175 Campus St, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Tagge |
|---|---|
| Address | 11175 Campus St, Loma Linda, California |
| Phone Number | 9095584619 |
| Fax Number | 9095587978 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255446100 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-09-05 |
Provider Mailing Address Detail
| Address | 11175 Campus St |
|---|---|
| City | Loma Linda |
| State | California (CA) |
| Post Code | 92354 |
| Phone Number | 9095584619 |
| Fax Number | 9095587978 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 15516 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 155165 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edward Tagge by the Centers for Medicare & Medicaid Services?
The Edward Tagge has been assigned the NPI (National Provider Identifier) 1255446100. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Edward Tagge is physically located?
The Edward Tagge is physically situated at the following address: 11175 Campus St, Loma Linda, CA, 92354.
What is Edward Tagge'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 Edward Tagge is Pediatric Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0120X.
On what date was the 1255446100 assigned to Edward Tagge?
The Edward Tagge was issued its 1255446100 on 2006-08-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Edward Tagge last refreshed?
The information related to the Edward Tagge, including its address, specialty, and other relevant details, was last updated on 2007-09-05.