Josie A Tebben is a Nephrology in Berkeley, California. Josie A Tebben practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Josie A Tebben is 1053418749. The last update date is 2007-07-09.
Josie A Tebben's current location address is 2905 Telegraph Ave, Berkeley, California. You can contact this provider via phone number 5108410411 and fax number 5108455030. The mailing address for Josie A Tebben is 2905 Telegraph Ave, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Josie A Tebben |
|---|---|
| Address | 2905 Telegraph Ave, Berkeley, California |
| Phone Number | 5108410411 |
| Fax Number | 5108455030 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053418749 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2905 Telegraph Ave |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947052063 |
| Phone Number | 5108410411 |
| Fax Number | 5108455030 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | A43757 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A437570 | CA | -- |
Post Comment/ Review Below
What is the Josie A Tebben's unique identification number?
The Josie A Tebben has been assigned the NPI (National Provider Identifier) Number 1053418749 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Josie A Tebben's physical address?
The Josie A Tebben is physically located at 2905 Telegraph Ave, in the city of Berkeley, CA, with the postal code 947052063.
What is Josie A Tebben's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Josie A Tebben is Nephrology, and the taxonomy code that categorizes this field of expertise is 207Rn0300X.
On what date did the Josie A Tebben receive the assignment of its 1053418749 from the Centers for Medicare & Medicaid Services?
The Josie A Tebben was issued its 1053418749 by the Centers for Medicare & Medicaid Services on 2006-09-17.
As of what date were the details pertaining to Josie A Tebben last refreshed?
The information related to the Josie A Tebben, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA