Ani Tajirian, MD
Dermatology in Oakland, CA. Organization (NPI-2).
NPI number1255752796
StatusActive
Last updated in NPPESDec 31, 2013
Details
- NPI
- 1255752796
- Entity type
- Organization (NPI-2)
- Legal business name
- Ani Tajirian, MD
- Organization subpart
- No
- Enumeration date
- Dec 31, 2013
- Last updated
- Dec 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | A119900 | CA | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | A119900 | CA | |
| 207NS0135X | Dermatology, Procedural Dermatology | A119900 | CA |
Practice location
3300 Webster St Ste 509Oakland, CA 94609-3149
Phone 510-839-2937 · Fax 510-452-2152
Mailing address
3300 Webster St Ste 509Oakland, CA 94609-3149
Phone 510-839-2937 · Fax 510-452-2152
Authorized official
Ani L Tajirian
Owner/President
5108392937
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