Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TENNYSON SCOTT MACDONALD
Active Sole ProprietorTENNYSON SCOTT MACDONALD is a 2278P3900X healthcare provider located in SIMI VALLEY, California. NPI 1477857266 is currently active in the NPPES registry. Verify at CMS.
2278P3900X · SIMI VALLEY, CA
Registration Details
- NPI Number
- 1477857266
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2011 (15.637255372521 yrs)
- Last Updated
- Jan 7, 2011
- License
-
9454 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2975 SYCAMORE DRSIMI VALLEY, CA, 930651201Browse CA providers · Browse ZIP 93065
- Phone
- 8059556000
- Primary Specialty
-
2278P3900X
2278P3900X
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.