Candelore, Tanner
Candelore, Tanner is an individual health care provider with primary practice located at 3350 La Jolla Village Dr , San Diego CA 92161-4701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Candelore, Tanner can be contacted via phone (858) 552-8585.Contact Information
Primary practice address
3350 La Jolla Village Dr
San Diego CA 92161-4701
Phone: (858) 552-8585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 18655 | California |
Profile Details
| NPI number | 1508304429 |
|---|---|
| LBN Legal business name | Candelore, Tanner |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2017 |
| Last updated | Jul 19th, 2021 - about 4 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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