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NPI Code Detail

MEDICARE: SUSAN LANE TENORIO

MEDICARE: SUSAN LANE TENORIO
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1932041886
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN LANE TENORIO
Provider Business Mailing Address
First Line : 1798 N GAREY AVE
Second Line :
City : POMONA
State : CA
Zip : 91767-2918
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1798 N GAREY AVE
Second Line :
City : POMONA
State : CA
Zip : 91767-2918
Country : US
Telephone Number : 909-865-9501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ SUSAN LANE TENORIO ” 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.

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