IndividualActive
Tennyson Macdonald
NPI 1477857266 · Neonatal/Pediatric Certified Respiratory Therapist · Simi Valley, CA
Provider details
- NPI number
- 1477857266
- Entity type
- Individual
- Primary specialty
- Neonatal/Pediatric Certified Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9454 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone: (805) 955-6000
Approximate (ZIP-level) locationGet directions
Mailing address
2082 Newbury Rd Ste 14
Newbury Park, CA 91320-3368
Registry dates
- Enumerated
- 2011-01-07
- Last updated
- 2011-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.