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NPI Code Detail

MEDICARE: VARTAN TACHDJIAN MD

MEDICARE: VARTAN TACHDJIAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA45771CA

General Provider Information

NPI Number : 1750314209
Entity Type Code : Individual
Provider Name (Legal Business Name) : VARTAN TACHDJIAN MD
Provider Business Mailing Address
First Line : 150 TEJAS PL
Second Line :
City : NIPOMO
State : CA
Zip : 93444-9123
Country : US
Telephone Number : 180-592-9321
Fax Number : 180-592-9644
Provider Business Practice Location Address
First Line : 150 TEJAS PL
Second Line :
City : NIPOMO
State : CA
Zip : 93444-9123
Country : US
Telephone Number : 805-929-3211
Fax Number : 805-929-6440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 07/08/2007

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Directions to “ VARTAN TACHDJIAN MD” Practice Location

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