Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN TIEFENBRUN, M.D.
ActiveDR. JONATHAN TIEFENBRUN, M.D. is a Diagnostic Ultrasound healthcare provider located in LA MESA, California. NPI 1265437727 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Ultrasound · LA MESA, CA
Registration Details
- NPI Number
- 1265437727
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2005 (21.190267021371 yrs)
- Last Updated
- Sep 18, 2015
- Licenses
-
B18861 (CA)G85951 (CA)
Practice Information
- Address
-
8851 CENTER DRSTE 505LA MESA, CA, 919423017Browse CA providers · Browse ZIP 91942
- Phone
- 6194613880
- Fax
- 6194613895
- Primary Specialty
-
Diagnostic Ultrasound
2085U0001X
- Additional Specialty
- General Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.