Joel Tetzlaff in Fullerton - Physician Assistant
Joel Tetzlaff - NPI 1164621074
Joel Tetzlaff is a Physician Assistant in Fullerton, California. Joel Tetzlaff practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Joel Tetzlaff is 1164621074. The last update date is 2007-07-12.
Joel Tetzlaff's current location address is 2720 N Harbor Blvd, Fullerton, California. You can contact this provider via phone number 7144496230 and fax number 7144491773. The mailing address for Joel Tetzlaff is 2720 N Harbor Blvd, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joel Tetzlaff |
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Address | 2720 N Harbor Blvd, Fullerton, California |
Phone Number | 7144496230 |
Fax Number | 7144491773 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1164621074 |
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Provider Enumeration Date | 2007-07-12 |
Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
Address | 2720 N Harbor Blvd |
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City | Fullerton |
State | California (CA) |
Post Code | 928352609 |
Phone Number | 7144496230 |
Fax Number | 7144491773 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA18035 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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PA18035 | CA | LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Joel Tetzlaff by the Centers for Medicare & Medicaid Services?
The Joel Tetzlaff has been issued the NPI (National Provider Identifier) 1164621074. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Joel Tetzlaff located?
The Joel Tetzlaff is located at 2720 N Harbor Blvd, Fullerton, CA 928352609.
What is Joel Tetzlaff's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joel Tetzlaff is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164621074 to Joel Tetzlaff?
The Joel Tetzlaff received its 1164621074 assignment from the Centers for Medicare & Medicaid Services on 2007-07-12.
When was the information related to Joel Tetzlaff most recently updated or refreshed?
The details pertaining to the Joel Tetzlaff, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-12.