Debra G Tennen, Md, a Professional Medical Corporation

NPI #1942355151 in Agoura Hills, California

Provider Information

NPI Number: 1942355151
Entity Type: Organization
Organization Name: Debra G Tennen, Md, a Professional Medical Corporation
Primary Specialty: Ophthalmology
Enumeration Date: Jan 25, 2007
Last Updated: May 2, 2008

Practice Location

Address: 29525 CANWOOD ST STE 210
City: Agoura Hills
State: California
ZIP Code: 91301-4231
Phone: (818) 707-4277

Authorized Official

Name: DR. DEBRA G TENNEN, M.D.
Title: OWNER
Phone: (818) 707-4277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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