| Joyce Tatelman Md, Inc. | |
|
2204 Grant Rd Suite 104 Mountain View CA 94040-3855 | |
| (650) 528-5110 | |
| (650) 528-5115 |
| Full Name | Joyce Tatelman Md, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2204 Grant Rd, Mountain View, California |
| Authorized Official Name and Position | Joyce Tatelman (DIRECTOR) |
| Authorized Official Contact | 6505285110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joyce Tatelman Md, Inc. 2204 Grant Rd Suite 104 Mountain View CA 94040-3855 Ph: (650) 528-5110 | Joyce Tatelman Md, Inc. 2204 Grant Rd Suite 104 Mountain View CA 94040-3855 Ph: (650) 528-5110 |
| NPI Number | 1033531652 |
|---|---|
| Provider Enumeration Date | 01/16/2014 |
| Last Update Date | 01/16/2014 |
| Medicare PECOS PAC ID | 3072730860 |
|---|---|
| Medicare Enrollment ID | O20140819001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033531652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A60885 (California) | Primary |
| Provider Name | Joyce I Tatelman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447276878 PECOS PAC ID: 8123158441 Enrollment ID: I20100628000338 |
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