Individual
TAGUHI KESHISHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1577 E CHEVY CHASE DR STE 300, GLENDALE, CA 91206-4092
(818) 590-8557
Mailing address
731 GROTON DR, BURBANK, CA 91504-2422
(818) 590-8557
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
111235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-4505094
HEALTH CARE LA
CA
Enumeration date
02/16/2017
Last updated
02/16/2017
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