Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN TISMAN, M.D.
DeactivatedDR. GLENN TISMAN, M.D. is a Specialist healthcare provider located in WHITTIER, California. NPI 1659373983 is deactivated in the NPPES registry. Verify at CMS.
Specialist · WHITTIER, CA
This NPI has been deactivated.
The record was deactivated on June 1, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1659373983
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2005 (1.0027397260274 yrs)
- Last Updated
- Mar 5, 2008
- Deactivated
- Jun 1, 2006
- License
-
G19173A (CA)
Practice Information
- Address
-
13025 BAILEY STSTE AWHITTIER, CA, 906014212Browse CA providers · Browse ZIP 90601
- Phone
- 5627898822
- Fax
- 5626984582
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in WHITTIER, CA
| Name | Credential | NPI |
|---|---|---|
| ANASTASIA PAPPAS | M.D. | 1568411833 |
| DR. MARC A MINTZ | DO | 1164479127 |
| DR. VIRGINIA L LEE | M.D. | 1740224229 |
| DR. THEODORE F MARSHBURN | M.D. | 1467546937 |
| SUDHAKER H NAYAK | M.D. | 1063501021 |
| KANG W. LEE | M.D. | 1417047440 |
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.