Individual
DR. JONATHAN TIEFENBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8851 CENTER DR, STE 505, LA MESA, CA 91942-3017
(619) 461-3880
(619) 461-3895
Mailing address
9610 GRANITE RIDGE DR, STE B, SAN DIEGO, CA 92123-2684
(858) 810-8000
(858) 268-1911
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
B18861
CA
208600000X
Surgery Physician
G85951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WG85951A
SO CA MEDICARE PTAN
CA
Enumeration date
06/20/2005
Last updated
09/18/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us