Individual provider · Type 1 NPI
Jodi Laine Tarutis, PA-C
Medical Physician Assistant · San Marcos, CA
NPI number
1124138169
Active
Practice location
150 Valpreda Rd
San Marcos, CA 92069-2973
Fax (760) 736-6700
Mailing address
29573 Greenbelt Cir
Menifee, CA 92585-9262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 18111 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1124138169
Jodi Laine Tarutis, PA-C's National Provider Identifier is 1124138169, issued on Aug 30, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Marcos, CA. The record was last updated on Nov 29, 2021.