Organization
BARTON TANENBAUM MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARTON TANENBAUM MD (A MEDICAL CORPORATIONPRESIDENT)
(310) 278-2970
Entity
Organization
Contact information
Practice address
1127 WILSHIRE BLVD STE 805, LOS ANGELES, CA 90017-3909
(213) 484-9900
(213) 484-0158
Mailing address
1127 WILSHIRE BLVD STE 805, LOS ANGELES, CA 90017-3909
(213) 484-9900
(213) 484-0158
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G19250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005G192501
BLUE SHIELD
CA
05
—
00G129501
—
CA
01
—
00G192500
BLUE SHIELD
—
05
—
00G192500
—
CA
01
—
340018176
RAILROAD MEDICARE
CA
01
—
341916018
RAILROAD MEDICARE
—
05
—
LAB94467F
—
CA
Enumeration date
11/22/2006
Last updated
06/26/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up