Individual
DEBRA G TENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29525 CANWOOD ST, STE 210, AGOURA HILLS, CA 91301-4231
(818) 707-4277
(818) 707-4291
Mailing address
29525 CANWOOD ST, STE 210, AGOURA HILLS, CA 91301-4233
(818) 707-4277
(818) 707-4291
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G72013
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G720130
—
CA
Enumeration date
02/24/2006
Last updated
09/16/2011
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