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Organization
THEODORE H. TUSCHKA, M.D., INC.
Active
Organization
THEODORE H. TUSCHKA, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE H. TUSCHKA M.D. (PRESIDENT)
(310) 440-3131
Entity
Organization
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 652-5011
(805) 643-0714
Mailing address
11999 SAN VICENTE BL., #440, LOS ANGELES, CA 90049-5042
(310) 440-3131
(310) 472-9582
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G55807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G558070
—
CA
Enumeration date
06/15/2006
Last updated
08/22/2020
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