Individual
TAD T TANOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21840 NORMANDIE AVE, STE. 500, TORRANCE, CA 90502-2047
(310) 222-5163
(310) 222-5173
Mailing address
21840 NORMANDIE AVE, STE. 500, TORRANCE, CA 90502-2047
(310) 222-5163
(310) 222-5173
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G67703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G677030
—
CA
Enumeration date
08/30/2006
Last updated
02/18/2010
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