Search › California › 1710I1002X
Jason Tetzlaff, IDC
NPI 1043247091 · on the registry since 2006
Practice
- Address
- 3402 Tarawa Rd
Sbt-12
San Diego, CA 92155 - Phone
- (619) 437-5539
- Fax
- (619) 437-2955
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Also registered as
- 174400000X
171000000X - Licence states on file
- AZ, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-22
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