Healthcare Provider Details
I. General information
NPI: 1306338165
Provider Name (Legal Business Name): TENEK HEALTHCARE MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/06/2018
Last Update Date: 06/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7233 1/2 FOOTHILL BLVD
TUJUNGA CA
91042-2718
US
IV. Provider business mailing address
7233 1/2 FOOTHILL BLVD
TUJUNGA CA
91042-2718
US
V. Phone/Fax
- Phone: 818-402-4361
- Fax: 818-861-7165
- Phone: 818-402-4361
- Fax: 818-861-7165
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALVINA
TENEKEDJIAN
Title or Position: PRESIDENT
Credential:
Phone: 818-402-4361