Provider Demographics
NPI:1073512083
Name:ALTMANN, TANYA REMER (MD)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:REMER
Last Name:ALTMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TANYA
Other - Middle Name:ELISSA
Other - Last Name:REMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:23586 CALABASAS RD STE 107
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1334
Mailing Address - Country:US
Mailing Address - Phone:818-914-4429
Mailing Address - Fax:844-882-5036
Practice Address - Street 1:23586 CALABASAS RD STE 107
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1334
Practice Address - Country:US
Practice Address - Phone:818-914-4429
Practice Address - Fax:844-882-5036
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72521208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics