institution
Glenn Tisman M D A Medical
Oncology Clinic/Center in Whittier, California
NPI 1659305266

Glenn Tisman M D A Medical is a Oncology Clinic/Center based in Whittier, CA and is specialized in Oncology. Glenn Tisman M D A Medical practices in Whittier, CA. The NPI Number for Glenn Tisman M D A Medical is 1659305266 and holds a License No. G19173A (California).

The current practice location address for Glenn Tisman M D A Medical is 13025 Bailey St, Whittier, CA and can be reached out via phone at 562-789-8822.

Location: 13025 Bailey St, Whittier, CA, 90601-4211
institution
Provider Profile Details
NPI Number
1659305266
Provider Name
Glenn Tisman M D A Medical
Credential
Provider Entity Type
Organization
Address
13025 Bailey St, Whittier, CA, 90601-4211
Phone Number
562-789-8822
Fax Number
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ59344Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
13025 Bailey St
City
State
Zip
90601-4211
Phone Number
562-789-8822
Fax Number
person
Provider Business Mailing Address Details
Address
13025 Bailey St
City
State
Zip
90601-4211
Phone Number
562-789-8822
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oncology
Taxonomy
License No.
G19173A (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.
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