Individual
ERNESTO TIZNADO-GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1635 3RD AVE, SUITE L, CHULA VISTA, CA 91911-5882
(619) 425-8901
(619) 425-8902
Mailing address
1635 3RD AVE, SUITE L, CHULA VISTA, CA 91911-5882
(619) 425-8901
(619) 425-8902
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
A45183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A451831
—
CA
Enumeration date
07/09/2006
Last updated
07/08/2007
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