Edward Tagge
Pediatric Surgery
11370 Anderson St Suite 2100
Loma Linda
, California 92354-3450
Edward Tagge
Pediatric Surgery
11370 Anderson St Suite 2100
Loma Linda
, California 92354-3450
(909) 558-7978
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Edward Tagge
- 11175 Campus St Cp-21111
- Loma Linda, CA
- Zip : 92354
- Fax : (909) 558-7978
- Phone : (909) 558-4619
Second Address
- Edward Tagge
- 11370 Anderson St Suite 2100
- Loma Linda, CA
- Zip : 92354-3450
- Fax : (909) 558-2125
- Phone : (909) 558-2282
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 15516 | SC |
National Provider Identifier
| NPI | 1255446100 |
|---|---|
| Provider Name | Edward Tagge |
| First Address | Loma Linda, CA 92354 |
| Second Address | Loma Linda, CA 92354-3450 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 05/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 155165 | (05) | SC |
| E55678 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.