# DEBRA G TENNEN, MD, A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Agoura Hills Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942355151
- **Authorized official:** DR. DEBRA G TENNEN M.D. (OWNER)
- **Authorized official phone:** (818) 707-4277

## Contact information

- **Practice address:** 29525 CANWOOD ST STE 210, AGOURA HILLS, CA 91301-4231
- **Practice address phone:** (818) 707-4277
- **Practice address fax:** (818) 707-4291
- **Mailing address:** 29525 CANWOOD ST STE 210, AGOURA HILLS, CA 91301-4231
- **Mailing address phone:** (818) 707-4277
- **Mailing address fax:** (818) 707-4291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G72013 | CA | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 05/02/2008