Individual
DR. ADINA TANASESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3660 PARK SIERRA DR, SUITE 208, RIVERSIDE, CA 92505-3081
(951) 687-2800
(951) 687-7290
Mailing address
PO BOX 54130, LOS ANGELES, CA 90054-0130
(951) 687-3400
(951) 687-7630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A66943
CA
207RN0300X
Nephrology Physician
Primary
A66943
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A669430
MEDICARE IDENTIFICATION N
CA
01
—
GR0092370
MEDICAL GRP #
CA
01
—
W1985
SOUTHERN MEDICARE GRP #
CA
01
—
WA66943A
MEDICARE IDENTIFICATION N
CA
01
—
ZZZ22408Z
NORTHERN MEDICARE GRP #
CA
Enumeration date
05/17/2006
Last updated
06/11/2015
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