MEDICARE: TANYA ELLIE ESHEL M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator
2	171400000X	Health & Wellness Coach
3	133N00000X	Nutritionist	138920	CA

General Provider Information

NPI Number	:	1740035542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA ELLIE ESHEL M.S.

Provider Business Mailing Address
First Line	:	122 15TH ST UNIT 64
Second Line	:
City	:	DEL MAR
State	:	CA
Zip	:	92014-8004
Country	:	US
Telephone Number	:	408-203-9996
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 15TH ST UNIT 64
Second Line	:
City	:	DEL MAR
State	:	CA
Zip	:	92014-8004
Country	:	US
Telephone Number	:	408-203-9996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2024
Last Update Date	:	03/18/2026

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Directions to “ TANYA ELLIE ESHEL M.S.” Practice Location

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