Individual
DAVID MARK TISHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2121
(323) 361-7128
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A42126
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A421260
—
CA
01
—
00A421260 G15
CAL OPTIMA
CA
Enumeration date
09/20/2006
Last updated
01/09/2008
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