Provider Demographics
NPI:1205814555
Name:TANZER, DAVID JULIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JULIAN
Last Name:TANZER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11831 ALDERHILL TER
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-3867
Mailing Address - Country:US
Mailing Address - Phone:619-920-9032
Mailing Address - Fax:858-880-1586
Practice Address - Street 1:11831 ALDERHILL TER
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-3867
Practice Address - Country:US
Practice Address - Phone:619-920-9032
Practice Address - Fax:858-880-1586
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2022-05-13
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Provider Licenses
StateLicense IDTaxonomies
CAG72901207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFZ088Medicare UPIN