Individual
DR. TANYA DOCTORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
2068 ORANGE TREE LN STE 215, REDLANDS, CA 92374-4555
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
A147174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275917940
—
CA
Enumeration date
07/13/2015
Last updated
01/12/2023
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