Individual
DR. GEMORSITA M. TENAZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
351 E TEMPLE ST, LOS ANGELES, CA 90012-3328
(213) 253-2677
Mailing address
19054 MERION DR, NORTHRIDGE, CA 91326-1833
(213) 253-2677
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A-32649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A- 32649
PHYSICIAN ANDSURGEON
CA
Enumeration date
07/05/2006
Last updated
07/08/2007
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