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Individual

JOHN S TSAKONAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16542 VENTURA BLVD, SUITE 402, ENCINO, CA 91436-2005
(818) 782-5041
(818) 205-9091
Mailing address
16542 VENTURA BLVD STE 402, ENCINO, CA 91436-4562
(818) 782-5041
(818) 205-9091

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G62791
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G627910
CA
Enumeration date
08/30/2005
Last updated
08/12/2022
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