Provider Demographics
NPI:1770003790
Name:TAMBURINI, NATALIA DANIELA
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:DANIELA
Last Name:TAMBURINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3714 GLEN AVE
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-5522
Mailing Address - Country:US
Mailing Address - Phone:760-809-7571
Mailing Address - Fax:
Practice Address - Street 1:3609 OCEAN RANCH BLVD STE 110
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-8601
Practice Address - Country:US
Practice Address - Phone:760-967-4475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program