Provider Demographics
NPI:1568721934
Name:ARLATA, TAMANTHA SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMANTHA
Middle Name:SUE
Last Name:ARLATA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9600 CUYAMACA ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-2692
Mailing Address - Country:US
Mailing Address - Phone:619-749-2150
Mailing Address - Fax:
Practice Address - Street 1:9600 CUYAMACA ST STE 101
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-2692
Practice Address - Country:US
Practice Address - Phone:619-749-2150
Practice Address - Fax:619-456-9744
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA155040208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics