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Organization
KEVEN TAGDIRI M.D., INC.
Active
Organization
KEVEN TAGDIRI M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVEN TAGDIRI M.D. (OWNER)
(858) 756-3021
Entity
Organization
Contact information
Practice address
4401 MANCHESTER AVE, SUITE 103, ENCINITAS, CA 92024-4938
(858) 756-3021
Mailing address
4401 MANCHESTER AVE, SUITE 103, ENCINITAS, CA 92024-4938
(858) 756-3021
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
871851
—
136A00000X
Registered Dietetic Technician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/18/2013
Last updated
02/19/2013
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