Individual
DR. JEFFREY TANAKA ISLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 EAST 28TH ST, #201, LONG BEACH, CA 90806
(562) 424-0421
(562) 427-8005
Mailing address
701 EAST 28TH ST, #201, LONG BEACH, CA 90806
(562) 424-0421
(562) 427-8005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G69424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0079620
—
CA
Enumeration date
11/14/2006
Last updated
05/16/2022
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