Individual
DR. CYRUS EMIL TAGHAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 SUTTER PL STE 104, DAVIS, CA 95616-6217
(530) 750-5900
(530) 750-5901
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A119827
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
A119827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316268519
—
CA
01
—
A119827
MEDICAL LICENSE
CA
Enumeration date
06/22/2010
Last updated
03/05/2020
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