Individual provider · Type 1 NPI

Edward Tagge, MD

Pediatric Surgery Physician · Loma Linda, CA

NPI number 1255446100 Active

Practice location

11370 Anderson St, Suite 2100
Loma Linda, CA 92354-3450

Fax (909) 558-2125

Mailing address

11175 Campus St, CP-21111
Loma Linda, CA 92354

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XG88002 (CA)
Surgery Physician 208600000XG88002 (CA)
Surgical Critical Care Physician 2086S0102XG88002 (CA)
Pediatric Surgery Physician 2086S0120X15516 (SC)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1255446100

Edward Tagge, MD's National Provider Identifier is 1255446100, issued on Aug 20, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Loma Linda, CA. The record was last updated on Jan 15, 2026.