Search › California › 101YM0800X
Brooke Tannenbaum
NPI 1275003642 · on the registry since 2018
Practice
- Address
- 480 Alta Rd
San Diego, CA 92179 - Phone
- (619) 661-6500
- Organisation at this address
- Corrections And Rehabilitation-Headquarters
State Of California Prison Industry AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 143
Additional practice sites
- 886 Sunny Brook Way, Pleasanton, CA
- 2001 The Alameda, San Jose, CA
- 2001 The Alameda, San Jose, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 171M00000X
103K00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California