Organization
SOUTH TAHOE ANESTHESIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAGHDASSAR P BAGHDIKIAN (MD)
(530) 542-3000
Entity
Organization
Contact information
Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 542-3000
Mailing address
5 HOLLAND, STE 101, IRVINE, CA 92618-2566
(949) 588-2190
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G54505
CA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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