NPI 1750825295

Tanya Audrey Margaret Deporto, MDPHDMPH

Practitioner Public Health & General Preventive Medicine Physician Redlands, CA

Practice location

Address: 26001 Redlands Blvd, Redlands, CA 92373-7762
Phone: (909) 825-7084
Mailing address: PO Box 315, Wildomar, CA 92595-0315

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 145547 (CA)

Other Preventive Medicine providers in California →

Registry record

NPI: 1750825295
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2016
Record last updated: 17 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.