Search › California › 225100000X
Eleazar Tayag, PT
NPI 1245355783 · on the registry since 2007
Practice
- Address
- 12381 Bali St
Victorville, CA 92392 - Phone
- (909) 509-6064
- Organisation at this address
- Optimum Care Provider, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California