Individual
DR. RAYMOND G. TATEVOSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 S BUENA VISTA ST STE 238, BURBANK, CA 91505-4576
(818) 325-2088
(818) 563-6201
Mailing address
PO BOX 893520, TEMECULA, CA 92589
(818) 325-2088
(818) 563-6201
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A87098
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A87098
CA
208VP0000X
Pain Medicine Physician
Primary
A87098
CA
208VP0014X
Interventional Pain Medicine Physician
A87098
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A870980
—
CA
Enumeration date
04/04/2007
Last updated
07/20/2022
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