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Individual

GREGORY H. TCHEJEYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., INC

Contact information

Practice address
250 LOMBARD ST STE 1, THOUSAND OAKS, CA 91360-8208
(805) 495-3687
(805) 494-1828
Mailing address
250 LOMBARD ST STE 1, THOUSAND OAKS, CA 91360-8208
(805) 495-3687
(805) 494-1828

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A55364
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376835330
NPI TYPE II
CA
Enumeration date
09/12/2005
Last updated
03/29/2022
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