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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255324885 NPPES
Iowa MEDICAID 0207605
Iowa Other 17556

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