Tennille Greenfield in Fullerton - Surgical
Tennille Greenfield - NPI 1265640734
Tennille Greenfield is a Surgical in Fullerton, California. Tennille Greenfield practices all healthcare services and medical treatments related to Surgical. The NPI Number for Tennille Greenfield is 1265640734. The last update date is 2021-11-02.
Tennille Greenfield's current location address is 2720 N Harbor Blvd Ste 210, Fullerton, California. You can contact this provider via phone number 7144465192 and fax number 7145158360. The mailing address for Tennille Greenfield is 2720 N Harbor Blvd Ste 210, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tennille Greenfield |
|---|---|
| Address | 2720 N Harbor Blvd Ste 210, Fullerton, California |
| Phone Number | 7144465192 |
| Fax Number | 7145158360 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1265640734 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2021-11-02 |
Provider Mailing Address Detail
| Address | 2720 N Harbor Blvd Ste 210 |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928352626 |
| Phone Number | 7144465192 |
| Fax Number | 7145158360 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA17945 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA17945 | CA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tennille Greenfield by the Centers for Medicare & Medicaid Services?
The Tennille Greenfield has been issued the NPI (National Provider Identifier) 1265640734 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Tennille Greenfield's physical address?
The Tennille Greenfield is physically located at 2720 N Harbor Blvd Ste 210, in the city of Fullerton, CA, with the postal code 928352626.
What is the Tennille Greenfield's specialty and taxonomy code?
The Tennille Greenfield's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265640734 to Tennille Greenfield?
The Centers for Medicare & Medicaid Services originally issued the 1265640734 to Tennille Greenfield on 2007-05-18.
As of what date were the details pertaining to Tennille Greenfield last refreshed?
The information related to the Tennille Greenfield, including its address, specialty, and other relevant details, was last updated on 2021-11-02.
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