Provider Demographics
NPI:1134290158
Name:TUAZON, OSCAR CUNANAN (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:CUNANAN
Last Name:TUAZON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOSEFA
Other - Middle Name:GUEVARA
Other - Last Name:TUAZON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16025 GALE AVE
Mailing Address - Street 2:SUITE B-10
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91745-1600
Mailing Address - Country:US
Mailing Address - Phone:626-336-6652
Mailing Address - Fax:626-336-6552
Practice Address - Street 1:16025 GALE AVE
Practice Address - Street 2:SUITE B-10
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91745-1600
Practice Address - Country:US
Practice Address - Phone:626-336-6652
Practice Address - Fax:626-336-6552
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41439207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine