Provider Demographics
NPI:1518985985
Name:TARLETON, HAROLD L (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:L
Last Name:TARLETON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 14038
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92255-4038
Mailing Address - Country:US
Mailing Address - Phone:760-836-0708
Mailing Address - Fax:760-773-4293
Practice Address - Street 1:72301 COUNTRY CLUB DR STE 106
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-8007
Practice Address - Country:US
Practice Address - Phone:760-836-0708
Practice Address - Fax:760-773-4293
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2025-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC32824207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C81494Medicare UPIN