Doctor Name: | DR. STEVEN A TENENBAUM |
NPI Number: | 1023126661 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A73555 |
Business Practice Address: | 1000 Newbury Rd Suite 210 Thousand Oaks, CA - 913206435 |
Business Phone Number: | 8055849476 |
Business Fax Number: | 8052149930 |
Mailing Address: | 1000 Newbury Park Road, Suite 210 THOUSAND OAKS |
State: | CA |
Postal Code: | 913206441 |
Phone Number: | 8055849476 |
Fax Number: | 8052149930 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A73555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |