Organization · NPI-2

Joyce Tatelman MD, INC.

Clinic/Center · Mountain View, CA

NPI number1033531652
StatusActive
Last updated in NPPESJan 16, 2014

Details

NPI
1033531652
Entity type
Organization (NPI-2)
Legal business name
Joyce Tatelman MD, INC.
Organization subpart
No
Enumeration date
Jan 16, 2014
Last updated
Jan 16, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterA60885CAYes

Practice location

2204 Grant Rd
Suite 104
Mountain View, CA 94040-3855

Phone 650-528-5110 · Fax 650-528-5115

Mailing address

2204 Grant Rd
Suite 104
Mountain View, CA 94040-3855

Phone 650-528-5110 · Fax 650-528-5115

Authorized official

Joyce Tatelman
Director
6505285110

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