Organization
DEBRA G TENNEN, MD, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Agoura Hills Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA G TENNEN M.D. (OWNER)
(818) 707-4277
Entity
Organization
Contact information
Practice address
29525 CANWOOD ST STE 210, AGOURA HILLS, CA 91301-4231
(818) 707-4277
(818) 707-4291
Mailing address
29525 CANWOOD ST STE 210, AGOURA HILLS, CA 91301-4231
(818) 707-4277
(818) 707-4291
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G72013
CA
Other
Enumeration date
01/25/2007
Last updated
05/02/2008
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