Healthcare Provider Details

I. General information

NPI: 1588314207
Provider Name (Legal Business Name): ANNA PATRICIA TENORIO-GARCIA WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2022
Last Update Date: 02/01/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 ALAMITOS AVE
LONG BEACH CA
90813-4726
US

IV. Provider business mailing address

720 ALAMITOS AVE
LONG BEACH CA
90813-4726
US

V. Phone/Fax

Practice location:
  • Phone: 562-546-2496
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNP95017904
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: