Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Maurice Kim Tanjuaquio, IDC

Individual provider Independent Duty Corpsman · NPI 1205268349

Mr. Maurice Kim Tanjuaquio, IDC is an Independent Duty Corpsman in San Diego, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

3913 Ingraham St Apt U309
San Diego, CA 92109-5918
Phone: (619) 518-4329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CA)

Record details

NPI number1205268349
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJuly 31, 2013
Last updated in NPPESJuly 31, 2013

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