MEDICARE: DR. TANYA REMER ALTMANN M.D.

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	208000000X	Pediatrics Physician	A72521	CA

General Provider Information

NPI Number	:	1073512083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TANYA REMER ALTMANN M.D.

Provider Business Mailing Address
First Line	:	23586 CALABASAS RD STE 107
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1334
Country	:	US
Telephone Number	:	818-914-4429
Fax Number	:	844-882-5036

Provider Business Practice Location Address
First Line	:	23586 CALABASAS RD STE 107
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1334
Country	:	US
Telephone Number	:	818-914-4429
Fax Number	:	844-882-5036

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	09/22/2021

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