KEN TANISAWA, OD

Optometrist

Active Individual
NPI: 1669579660

Practice Address

1419 BURLINGAME AVENUE
SUITE F
Burlingame, CA 94010

Phone: (650) 342-7715

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 5604TPA (CA)

Frequently Asked Questions

NPI 1669579660 is the National Provider Identifier for KEN TANISAWA, OD, a Optometrist provider located in Burlingame, CA. This NPI was enumerated on September 20, 2006.
KEN TANISAWA, OD practices at 1419 BURLINGAME AVENUE, SUITE F, Burlingame, CA 94010.

Quick Facts

NPI
1669579660
Type
Individual
Enumerated
Sep 20, 2006
Last Updated
Jul 8, 2007

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