Individual
DR. RAFFI TACHDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 20TH ST STE 380, SANTA MONICA, CA 90404
(310) 998-0060
(310) 998-0063
Mailing address
1301 20TH ST STE 380, SANTA MONICA, CA 90404-2087
(310) 998-0060
(109) 980-0633
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A88034
CA
2080P0201X
Pediatric Allergy/Immunology Physician
A88034
CA
Other
Enumeration date
03/21/2007
Last updated
07/02/2018
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