Tichansky, David Samuel
Tichansky, David Samuel is an individual health care provider with primary practice located at 200 Medical Plaza Suite 214 , Los Angeles CA 90095-5563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tichansky, David Samuel can be contacted via phone (310) 794-7788.Contact Information
Primary practice address
200 Medical Plaza Suite 214
Los Angeles CA 90095-5563
Phone: (310) 794-7788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD066823L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 38725 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA07587100 | New Jersey |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | C190984 | California |
Profile Details
| NPI number | 1649236423 |
|---|---|
| LBN Legal business name | Tichansky, David Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Oct 23rd, 2023 - about last year |
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 | 1649236423 | NPPES |
| Pennsylvania | MEDICAID | 1022206230001 | |
| Pennsylvania | MEDICAID | 0177369 | |
| Pennsylvania | MEDICAID | 3895577 |
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