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NPI Code Detail

MEDICARE: TOBIN BRISTOL TENBROECK THUMA DO

MEDICARE: TOBIN BRISTOL TENBROECK THUMA DO
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
1207W00000XOphthalmology Physician20A24971CA

General Provider Information

NPI Number : 1881340172
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOBIN BRISTOL TENBROECK THUMA DO
Provider Business Mailing Address
First Line : FILE 57326
Second Line :
City : LOS ANGELES
State : CA
Zip : 90074-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 W ARBOR DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-9000
Country : US
Telephone Number : 800-926-8273
Fax Number : 888-539-8781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2022
Last Update Date : 06/15/2026

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Directions to “ TOBIN BRISTOL TENBROECK THUMA DO” Practice Location

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