Tanenbaum, Barton

Tanenbaum, Barton is an sole proprietor health care provider with primary practice located at 201 S Alvarado St Suite 215, Los Angeles CA 90057-2320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Tanenbaum, Barton can be contacted via phone (213) 484-9900.

Contact Information

Primary practice address
201 S Alvarado St Suite 215 Los Angeles CA 90057-2320
Fax: (213) 484-0158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G19250 California

Profile Details

NPI number 1447218045
LBN Legal business name Tanenbaum, Barton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jun 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447218045 NPPES
California Other 0385570001 MEDICARE DME
California Other 0385570002 MEDICARE DME
California Other 340018176 MEDICARE DME
California Other 341916018 MEDICARE DME
California MEDICAID 00G129500 MEDICARE DME
California MEDICAID LAB94467F MEDICARE DME
California MEDICAID 00G192501 MEDICARE DME

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