| Harold L. Tarleton, M.d., Inc. | |
|
72301 Country Club Dr Ste 106 Rancho Mirage CA 92270-8007 | |
| (760) 836-0708 | |
| (760) 776-4293 |
| Full Name | Harold L. Tarleton, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 72301 Country Club Dr Ste 106, Rancho Mirage, California |
| Authorized Official Name and Position | Harold L. Tarleton (PRESIDENT) |
| Authorized Official Contact | 7608360708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harold L. Tarleton, M.d., Inc. Po Box 14038 Palm Desert CA 92255-4038 Ph: (760) 836-0708 | Harold L. Tarleton, M.d., Inc. 72301 Country Club Dr Ste 106 Rancho Mirage CA 92270-8007 Ph: (760) 836-0708 |
| NPI Number | 1144223488 |
|---|---|
| Provider Enumeration Date | 05/31/2005 |
| Last Update Date | 02/26/2025 |
| Medicare PECOS PAC ID | 5597738617 |
|---|---|
| Medicare Enrollment ID | O20040817000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144223488 | NPI | - | NPPES |
| 00C328240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C32824 (California) | Primary |
| Provider Name | Harold L Tarleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518985985 PECOS PAC ID: 1456423292 Enrollment ID: I20090223000416 |
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