Individual
DEENA S TAJRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD FACOG
Contact information
Practice address
10737 CAMINO RUIZ, SUITE 114, SAN DIEGO, CA 92126
(858) 578-9600
(858) 578-9065
Mailing address
1934 VIA CASA ALTA, LA JOLLA, CA 92037
(858) 578-9600
(858) 578-9065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A55154
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A55154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A551540
—
CA
01
—
774581
AETNA
CA
01
—
ZZZ659312
BLUE SHIELD OF CA
CA
01
—
ZZZ65932Z
BLUE SHIELD OF CA
CA
01
—
ZZZ65933Z
BLUE SHIELD OF CA
CA
Enumeration date
04/03/2006
Last updated
07/16/2015
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