Individual
ALLYSON TRACY TEVRIZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 LA CASA VIA STE 209 BLDG 2, WALNUT CREEK, CA 94598-3034
(925) 935-6252
(925) 935-7611
Mailing address
370 N WIGET LN, STE 210, WALNUT CREEK, CA 94598-2452
(925) 935-0856
(925) 935-7611
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A064305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A064305
STATE MEDICAL LICENSE
CA
Enumeration date
03/15/2007
Last updated
03/07/2023
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