Glenn Tisman M D A Medical

LBN: Glenn Tisman M D A Medical
Glenn Tisman M D A Medical is an health care organization with primary practice located at 13025 Bailey St , Whittier CA 90601-4211. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, which is considered as the primary health care specialty. Glenn Tisman M D A Medical can be contacted via phone (562) 789-8822, or through Tisman, Glenn via phone (562) 789-8822.

Contact Information

Primary practice address
13025 Bailey St Whittier CA 90601-4211
Phone: (562) 789-8822
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tisman, Glenn
Phone: (562) 789-8822

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology 261QX0200X G19173A California

Profile Details

NPI number 1659305266
LBN Legal business name Glenn Tisman M D A Medical
DBA Doing business as
Authorized official Tisman, Glenn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 15th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659305266 NPPES
California Other ZZZ59344Z BLUE SHIELD

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