Provider Demographics
NPI:1497710842
Name:TAGLIERI, JOSETTE RENEE (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSETTE
Middle Name:RENEE
Last Name:TAGLIERI
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:18800 MAIN ST
Mailing Address - Street 2:104
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1707
Mailing Address - Country:US
Mailing Address - Phone:714-841-1963
Mailing Address - Fax:714-841-6919
Practice Address - Street 1:18800 MAIN ST
Practice Address - Street 2:104
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1707
Practice Address - Country:US
Practice Address - Phone:714-841-1963
Practice Address - Fax:714-841-6919
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2010-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A5258207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine