MEDICARE: VENUS EUGENIO TANZO

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	C51018	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649296146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VENUS EUGENIO TANZO

Provider Business Mailing Address
First Line	:	498 W 4TH ST
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92570-2070
Country	:	US
Telephone Number	:	951-943-8899
Fax Number	:	951-943-4598

Provider Business Practice Location Address
First Line	:	498 W 4TH ST
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92570-2070
Country	:	US
Telephone Number	:	951-943-8899
Fax Number	:	951-943-4598

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

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	03/02/2020

Similar Medicare Providers

1437121415 — DR. ELIZABETH CARANDANG LAQUI MD
Practice Location Address:

498 W 4TH ST
PERRIS, CA
92570-2070

Practice Phone: 951-943-8899
Practice Fax: 951-943-4598

1942429188 — REUBEN C CASTILLO, PROFESSIONAL CORPORATION
Practice Location Address:

498 W 4TH ST
PERRIS, CA
92570-2070

Practice Phone: 951-654-5441
Practice Fax: 951-943-4938

1184987927 — DR. YUSRA KHAN MD
Practice Location Address:

498 W 4TH ST
PERRIS, CA
92570-2070

Practice Phone: 519-438-8999
Practice Fax: 951-943-4598

1164354288 — DOLORES GONZALEZ
Practice Location Address:

2221 S A ST
PERRIS, CA
92570-9318

Practice Phone: 951-940-4942
Practice Fax:

1659203602 — JOHN PAUL ALEXANDER YOSEPH
Practice Location Address:

3150 CASE RD BLDG C
PERRIS, CA
92570-5552

Practice Phone: 951-564-4091
Practice Fax:

1598756926 — COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY
Practice Location Address:

237 N D ST
PERRIS, CA
92570-1919

Practice Phone: 951-940-6700
Practice Fax: 951-940-6726

Directions to “ VENUS EUGENIO TANZO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.