Tiefenbrun, Jonathan
Tiefenbrun, Jonathan is an individual health care provider with primary practice located at 8851 Center Dr Ste 505, La Mesa CA 91942-3017. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Diagnostic Ultrasound is his primary health care specialty. Tiefenbrun, Jonathan can be contacted via phone (619) 461-3880.Contact Information
Primary practice address
8851 Center Dr Ste 505
La Mesa CA 91942-3017
Phone: (619) 461-3880
Fax: (619) 461-3895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | B18861 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G85951 | California |
Profile Details
| NPI number | 1265437727 |
|---|---|
| LBN Legal business name | Tiefenbrun, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Sep 18th, 2015 - about 9 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 | 1265437727 | NPPES |
| California | Other | WG85951A | SO CA MEDICARE PTAN |
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