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Organization
TISON MEDICAL GROUP INC
Active
Organization
TISON MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN H TISON M.D. (PRESIDENT)
(661) 949-5955
Entity
Organization
Contact information
Practice address
801 N TUSTIN AVE, SUITE NO. 500, SANTA ANA, CA 92705-3612
(714) 550-7700
(714) 550-7074
Mailing address
44241 15TH ST W, SUITE NO. 201, LANCASTER, CA 93534-4037
(661) 949-5955
(661) 949-5958
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FNP 16664
CA
Other
Enumeration date
03/22/2007
Last updated
02/01/2011
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