Tana Teicheira is a Clinical in Marina Del Rey, California. Tana Teicheira practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tana Teicheira is 1023133816. The last update date is 2020-08-19.
Tana Teicheira's current location address is 4712 Admiralty Way # 704, Marina Del Rey, California. You can contact this provider via phone number 7077166390. The mailing address for Tana Teicheira is 4712 Admiralty Way # 704, Marina Del Rey, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tana Teicheira |
|---|---|
| Address | 4712 Admiralty Way # 704, Marina Del Rey, California |
| Phone Number | 7077166390 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1023133816 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-19 |
Provider Mailing Address Detail
| Address | 4712 Admiralty Way # 704 |
|---|---|
| City | Marina Del Rey |
| State | California (CA) |
| Post Code | 902926905 |
| Phone Number | 7077166390 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 83675 |
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What is the unique identifier code issued to Tana Teicheira by the Centers for Medicare & Medicaid Services?
The Tana Teicheira has been assigned the NPI (National Provider Identifier) 1023133816. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tana Teicheira's facilities are situated?
The facilities of Tana Teicheira are physically located at the following address: 4712 Admiralty Way # 704, Marina Del Rey, CA, 902926905.
What is Tana Teicheira's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tana Teicheira is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did Tana Teicheira receive its 1023133816 assignment?
The Tana Teicheira was assigned its 1023133816 on 2007-03-20, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Tana Teicheira most recently updated or revised?
The information pertaining to Tana Teicheira, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-19.