Michael Tiideberg

NPI 1538644521 · on the registry since 2018

Practice

Address: 31630 Railroad Canyon Rd Ste 4
Canyon Lake, CA 92587
Phone: (951) 837-6980
Organisation at this address: Hope'S Chest Co.
Canyon Consulting Group
Alex Denes, Md, Facp, A Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-25

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