Tannenbaum, Dana Pearl
Tannenbaum, Dana Pearl is an individual health care provider with primary practice located at 4418 Vineland Ave #106, North Hollywood CA 91602-3457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Tannenbaum, Dana Pearl can be contacted via phone (818) 762-0647.Contact Information
Primary practice address
4418 Vineland Ave #106
North Hollywood CA 91602-3457
Phone: (818) 762-0647
Fax: (818) 762-7834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A67997 | California |
Profile Details
| NPI number | 1528080694 |
|---|---|
| LBN Legal business name | Tannenbaum, Dana Pearl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Apr 22nd, 2008 - about 18 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 | 1528080694 | NPPES |
| California | MEDICAID | 00A679970 |
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