| Dr Theodore A Tanabe, DDS | |
|
13203 Hadley St, 101, Whittier, CA 90601-4519 | |
| (562) 698-0387 | |
| (562) 696-7677 |
| Full Name | Dr Theodore A Tanabe |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 13203 Hadley St, Whittier, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982625372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 39716 (California) | Primary |
| Entity Name | Theodore A Tanabe Dds A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730489014 PECOS PAC ID: 1759575509 Enrollment ID: O20101105000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore A Tanabe, DDS 13203 Hadley St, 101, Whittier, CA 90601-4519 Ph: (562) 698-0387 | Dr Theodore A Tanabe, DDS 13203 Hadley St, 101, Whittier, CA 90601-4519 Ph: (562) 698-0387 |
Dr. Sherry Baek, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16406 E Whittier Bl, Whittier, CA 90603 Phone: 562-694-0396 Fax: 562-902-1184 | |
Evangelos Rossopoulos, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8135 Painter Ave, Whittier, CA 90602 Phone: 562-907-4522 | |
Dr. Todd Edward Sumner, DDS, MD Dentist Medicare: Medicare Enrolled Practice Location: 8937 La Entrada Ave, Whittier, CA 90605 Phone: 562-698-0943 | |
Krishnaswamy Satya Prasad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11610 E Slauson Ave, Whittier, CA 90606 Phone: 562-692-1330 Fax: 562-692-1335 | |
Arezoukhanom Dadgar Mollamohammad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11822 Floral Dr, Suit D, Whittier, CA 90601 Phone: 562-692-7870 Fax: 562-692-8483 | |
Dr. Linda Kimiko Sonoda, DDS Dentist Medicare: Medicare Enrolled Practice Location: 13412 Russell St, Whittier, CA 90602 Phone: 562-945-8558 Fax: 562-945-8559 | |
Dr. Sunil Kumar Goyal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16234 Whittier Blvd, Whittier, CA 90603 Phone: 562-947-9417 Fax: 562-947-9337 |