Individual provider · Type 1 NPI

Glenn Tisman, MD

Specialist · Whittier, CA

NPI number 1659373983 Active · reactivated Jun 28, 2006

Practice location

13025 Bailey St, Ste A
Whittier, CA 90601-4212

Call (562) 789-8822 Map

Fax (562) 698-4582

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG19173A (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Another provider at this address

Other specialist providers in Whittier

See all in Whittier →

About NPI 1659373983

Glenn Tisman, MD's National Provider Identifier is 1659373983, issued on May 31, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Whittier, CA. The record was last updated on Mar 5, 2008.