Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | G035422 | CA |
NPI | 1043250145 |
---|---|
Provider Name | Dr. Emil Anthony Tanghetti |
First Address | Sacramento, CA 95818-4218 |
Second Address | Sacramento, CA 95819-3948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 18/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A46348 | (02) | CA |