Tatiana M Tretiakova M.D.

NPI 1962583336 - Psychiatry & Neurology - 2084P0804X

NPI Details
NPI 1962583336
Gender Female
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3115 REDHILL AVE
COSTA MESA CA, 92626, US
Phone (714) 850-8408
Fax (714) 850-8587
Business Location
3115 REDHILL AVE
COSTA MESA CA, 92626, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0804X
License State California
License Number A63465
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According to our database, Tatiana M Tretiakova M.D. NPI is 1962583336, taxonomy code is 2084P0804X and license number is A63465, license state is located at California. Tatiana M Tretiakova M.D. physically located at 3115 Redhill Ave, Costa Mesa CA, 92626. NPI Number Tatiana M Tretiakova M.D. has the Individual type.

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1962583336 NPI number is provided on an as is basis without warranty of any kind. 1962583336 is maintained by the National Plan & Provider Enumeration System. The contents of Tatiana M Tretiakova M.D. are for informational purposes only.