Individual
DR. TED LESLIE TANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 N TUSTIN AVE, STE.#355, SANTA ANA, CA 92705-8644
(949) 903-1830
(949) 720-9808
Mailing address
3334 E COAST HWY, #324, CORONA DEL MAR, CA 92625-2328
(949) 903-1830
(949) 720-9808
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A050487
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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