Provider Demographics
NPI:1184632796
Name:TANASESCU, DOINA ELENA (MD)
Entity Type:Individual
Prefix:
First Name:DOINA
Middle Name:ELENA
Last Name:TANASESCU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 49397 BARRINGTON STATION
Mailing Address - Street 2:200 SO BARRINGTON AVE
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14445 OLIVE VIEW DR
Practice Address - Street 2:OLIVE VIEW MED CTR
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342
Practice Address - Country:US
Practice Address - Phone:818-364-4094
Practice Address - Fax:818-364-4537
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2010-04-08
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Provider Licenses
StateLicense IDTaxonomies
CAA25281207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
A86888Medicare UPIN