Individual
ERIC M. TIRNAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2330 UTAH AVE STE 200, EL SEGUNDO, CA 90245
(424) 290-8004
Mailing address
3305 W KIRBY ST, TAMPA, FL 33614-3364
(727) 743-9379
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN14640
FL
2085N0700X
Neuroradiology Physician
ME133033
FL
2085N0700X
Neuroradiology Physician
TRN23260
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME0133033
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103873100
—
FL
01
—
15296065000696
PECOS DCN
VA
01
—
XDVO2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/05/2010
Last updated
04/07/2026
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