Individual
DR. DAVID A. TANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 940-3808
Mailing address
3156 VISTA WAY, SUITE 410, OCEANSIDE, CA 92056-3622
(760) 439-1963
(760) 967-7160
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G75158
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G751580
—
CA
Enumeration date
09/23/2005
Last updated
05/27/2008
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