Vannatta, Timothy L
Vannatta, Timothy L is an individual health care provider with primary practice located at 1000 W Carson St Box 42, Torrance CA 90502-2004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Vannatta, Timothy L can be contacted via phone (310) 222-5026.Contact Information
Primary practice address
1000 W Carson St Box 42
Torrance CA 90502-2004
Phone: (310) 222-5026
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | G87765 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G88765 | California |
Profile Details
| NPI number | 1255324885 |
|---|---|
| LBN Legal business name | Vannatta, Timothy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Feb 1st, 2008 - about 17 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 | 1255324885 | NPPES |
| Iowa | MEDICAID | 0207605 | |
| Iowa | Other | 17556 |
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