Tennen, Debra G
Tennen, Debra G is an individual health care provider with primary practice located at 29525 Canwood St Ste 210, Agoura Hills CA 91301-4231. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Tennen, Debra G can be contacted via phone (818) 707-4277.Contact Information
Primary practice address
29525 Canwood St Ste 210
Agoura Hills CA 91301-4231
Phone: (818) 707-4277
Fax: (818) 707-4291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G72013 | California |
Profile Details
| NPI number | 1366418865 |
|---|---|
| LBN Legal business name | Tennen, Debra G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Sep 16th, 2011 - about 14 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 | 1366418865 | NPPES |
| California | MEDICAID | 00G720130 |
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