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Organization

GILDA TAFRESHI, MD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GILDA TAFRESHI M.D. (PRESIDENT)
(619) 294-9292
Entity
Organization

Contact information

Practice address
4033 3RD AVE, SUITE 206, SAN DIEGO, CA 92103-2117
(619) 294-9292
(619) 294-3311
Mailing address
4033 3RD AVE, SUITE 206, SAN DIEGO, CA 92103-2117
(619) 294-9292
(619) 294-3311

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A103111
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A103111
LICENSE
CA
Enumeration date
11/18/2010
Last updated
09/24/2012
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