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Contact Information

KEVEN TAGDIRI M.D., INC.
4401 MANCHESTER AVE
SUITE 103
ENCINITAS, CA92024-4938
 Phone: 858-756-3021
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Dietetic Technician, Registered

136A00000X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KEVEN TAGDIRI MD INC · (Female)

NPI Number 1760722433
Status Active
Credentials
Entity Individual
Enumeration date 02/18/2013
Last updated 02/19/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • License # 871851
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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