Individual
MRS. TANYA B DORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A82669
CA
207RH0003X
Hematology & Oncology Physician
A82669
CA
207RX0202X
Medical Oncology Physician
Primary
A82669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
A82669
MEDICAL LICENSE
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W15185
MEDICARE PTAN - FACILITY
CA
01
—
W15185A
MEDICARE PTAN - FACILITY
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
08/14/2006
Last updated
03/07/2023
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