Keven Tagdiri M.d., Inc.

NPI #1760722433 in Encinitas, California

Provider Information

NPI Number
1760722433
Entity Type
Organization
Organization Name
Keven Tagdiri M.d., Inc.
Primary Specialty
Internal Medicine
Enumeration Date
Feb 18, 2013
Last Updated
Feb 19, 2013

Practice Location

Address
4401 MANCHESTER AVE
Address 2
SUITE 103
ZIP Code
92024-4938
Phone
(858) 756-3021

Authorized Official

Name
DR. KEVEN TAGDIRI, M.D.
Title
OWNER
Phone
(858) 756-3021

Specialties & Taxonomy Codes

Specialty
Dietetic Technician, Registered
Dietitian, Registered
Internal Medicine

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