Individual
PHILLIP R TACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 554-3300
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-3300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A185471
CA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
A185471
CA
207RC0000X
Cardiovascular Disease Physician
A185471
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2020
Last updated
02/02/2026
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