Search › California › 152W00000X
Ken Tanisawa, OD
NPI 1669579660 · on the registry since 2006
Practice
- Address
- 1419 Burlingame Avenue
Suite F
Burlingame, CA 94010 - Phone
- (650) 342-7715
- Fax
- (650) 342-8182
- Organisation at this address
- Hair Spies, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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