Provider Demographics
NPI:1598722555
Name:TULAGAN, JOSEPH C (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:C
Last Name:TULAGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3400 E 8TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-3167
Mailing Address - Country:US
Mailing Address - Phone:619-382-3350
Mailing Address - Fax:888-972-6543
Practice Address - Street 1:3400 E 8TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-3167
Practice Address - Country:US
Practice Address - Phone:619-382-3350
Practice Address - Fax:888-972-6543
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA98025208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics