Provider Demographics
NPI:1285052704
Name:BINYAMIN, TAMAR
Entity type:Individual
Prefix:DR
First Name:TAMAR
Middle Name:
Last Name:BINYAMIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:925-884-2360
Mailing Address - Fax:925-779-3705
Practice Address - Street 1:1320 EL CAPITAN DR STE 300
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-6258
Practice Address - Country:US
Practice Address - Phone:925-884-2360
Practice Address - Fax:925-779-3705
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-01
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA129258207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA129258OtherSTATE MEDICAL LICENSE