Tannenbaum, Dana Pearl

Tannenbaum, Dana Pearl is an individual health care provider with primary practice located at 4418 Vineland Ave #106, North Hollywood CA 91602-3457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Tannenbaum, Dana Pearl can be contacted via phone (818) 762-0647.

Contact Information

Primary practice address
4418 Vineland Ave #106 North Hollywood CA 91602-3457
Phone: (818) 762-0647
Fax: (818) 762-7834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A67997 California

Profile Details

NPI number 1528080694
LBN Legal business name Tannenbaum, Dana Pearl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Apr 22nd, 2008 - about 16 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 1528080694 NPPES
California MEDICAID 00A679970

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