Provider Demographics
NPI:1124386685
Name:ROBERTSONTARPO, MARLA JOANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARLA
Middle Name:JOANNE
Last Name:ROBERTSONTARPO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23028 LAKE FOREST DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1323
Mailing Address - Country:US
Mailing Address - Phone:949-264-2613
Mailing Address - Fax:
Practice Address - Street 1:23028 LAKE FOREST DR
Practice Address - Street 2:SUITE D
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1323
Practice Address - Country:US
Practice Address - Phone:949-264-2613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32234111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor