Provider Demographics
NPI:1003258419
Name:TAMAS, SCOTT (LAC)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:
Last Name:TAMAS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E LIVE OAK ST
Mailing Address - Street 2:APT 2
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1561
Mailing Address - Country:US
Mailing Address - Phone:323-540-8285
Mailing Address - Fax:
Practice Address - Street 1:401 E LIVE OAK ST
Practice Address - Street 2:APT 2
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1561
Practice Address - Country:US
Practice Address - Phone:323-540-8285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15209171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist