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Organization
JOSEPH P TREZZA & JAMES M TATUM, INC.
Active
Organization
JOSEPH P TREZZA & JAMES M TATUM, INC.
Active
Other names
Drs. Tatum and Trezza Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH PAUL TREZZA OD (PRESIDENT)
(909) 987-0728
Entity
Organization
Contact information
Practice address
10165 FOOTHILL BLVD, #6, RANCHO CUCAMONGA, CA 91730-0340
(909) 987-0728
(909) 987-0729
Mailing address
10165 FOOTHILL BLVD, #6, RANCHO CUCAMONGA, CA 91730-0340
(909) 987-0728
(909) 987-0729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA6368T
CA
152W00000X
Optometrist
CA6372T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0063680
MEDICAL
CA
01
—
SD0063720
MEDICAL
CA
Enumeration date
05/04/2006
Last updated
02/27/2014
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