Joseph Tillman's National Provider Identifier (NPI) Details
Joseph Tillman,
NPI: 1912020090
Enumeration Date: 2007-04-06
Last updated: 2014-06-16
Sole Proprietor: NO
Status: active
Postal Address: 2640 INDUSTRY WAY, SUITE B, LYNWOOD, CA
Phone: 310-639-5983
Primary Practice Address: 2640 INDUSTRY WAY, SUITE B, LYNWOOD, CA
Practice's phone: 310-639-5983