MEDICARE: DEBRA G TENNEN, MD, A PROFESSIONAL MEDICAL CORPORATION

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	207W00000X	Ophthalmology Physician	G72013	CA

General Provider Information

NPI Number	:	1942355151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBRA G TENNEN, MD, A PROFESSIONAL MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	29525 CANWOOD ST STE 210
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4231
Country	:	US
Telephone Number	:	818-707-4277
Fax Number	:	818-707-4291

Provider Business Practice Location Address
First Line	:	29525 CANWOOD ST STE 210
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4231
Country	:	US
Telephone Number	:	818-707-4277
Fax Number	:	818-707-4291

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DEBRA G TENNEN
Credential	:	M.D.
Telephone Number	:	818-707-4277

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	05/02/2008

Similar Medicare Providers

1598760621 — DR. MICHAEL S SHORE D.C.
Practice Location Address:

29525 CANWOOD ST , STE 204
AGOURA HILLS, CA
91301-4231

Practice Phone: 818-991-3900
Practice Fax: 818-991-4039

1366418865 — DEBRA G TENNEN M.D.
Practice Location Address:

29525 CANWOOD ST , STE 210
AGOURA HILLS, CA
91301-4231

Practice Phone: 818-707-4277
Practice Fax: 818-707-4291

1174585913 — ANITA P SINGH-CRAIGHEAD M.D.
Practice Location Address:

29525 CANWOOD ST , STE 210
AGOURA HILLS, CA
91301-4231

Practice Phone: 818-889-4532
Practice Fax: 818-889-4536

1518992841 — ELIZABETH ARMSTRONG CPNP
Practice Location Address:

29525 CANWOOD ST STE 250
AGOURA HILLS, CA
91301-4231

Practice Phone: 818-735-5555
Practice Fax: 818-996-4712

1811051691 — DR. PHILIP L. MEYERS MD
Practice Location Address:

29525 CANWOOD ST STE 250
AGOURA HILLS, CA
91301-4231

Practice Phone: 818-735-5555
Practice Fax: 818-996-4712

1053527002 — JUDITH S. PABST, D.D.S.,INC. AND SHOHREH SELKI, D.D.S. A PARTNERSHIP
Practice Location Address:

29525 CANWOOD ST STE 201
AGOURA HILLS, CA
91301-4231

Practice Phone: 818-991-8010
Practice Fax:

Directions to “DEBRA G TENNEN, MD, A PROFESSIONAL MEDICAL CORPORATION ” 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 © 2007-2025 (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.