Individual
DR. JAIME E. TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1239
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1239
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G67321
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
G67321
CA
Other
Enumeration date
04/27/2006
Last updated
12/09/2020
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