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Organization
JOHN R. TENCATI,M.D.,INC.
Active
Organization
JOHN R. TENCATI,M.D.,INC.
Active
Other names
JOHN R. TENCATI, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT TENCATI M.D. (PHYSICIAN/OWNER)
(949) 650-3090
Entity
Organization
Contact information
Practice address
320 SUPERIOR AVE STE 270, NEWPORT BEACH, CA 92663-2778
(949) 650-3090
(949) 650-5723
Mailing address
320 SUPERIOR AVE STE 270, NEWPORT BEACH, CA 92663-2778
(949) 650-3090
(949) 650-5723
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
G38287
CA
207R00000X
Internal Medicine Physician
Primary
G38287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659458743
NPI
CA
01
—
G38287
PTAN
CA
Enumeration date
02/24/2012
Last updated
02/24/2012
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