Tanner, Dawn Terese
Tanner, Dawn Terese is an sole proprietor health care provider with primary practice located at 27700 Medical Center Rd , Mission Viejo CA 92691-6426. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Tanner, Dawn Terese can be contacted via phone (949) 364-7744.Contact Information
Primary practice address
27700 Medical Center Rd
Mission Viejo CA 92691-6426
Phone: (949) 364-7744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5876 | Nebraska |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A110702 | California |
Profile Details
| NPI number | 1104089606 |
|---|---|
| LBN Legal business name | Tanner, Dawn Terese |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Jul 22nd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104089606 | NPPES |
| California | Other | 00A1107020 | BC/BS OF CA |
| California | MEDICAID | 1104089606 | BC/BS OF CA |
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