Individual
CARLOS TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
813 PALOMA AVE, BURLINGAME, CA 94010-3628
(650) 619-6708
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHT00107633
CA
Other
Enumeration date
12/03/2016
Last updated
12/03/2016
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