| Doctor Name: | DR. TAHIR IJAZ |
| NPI Number: | 1225036742 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A52748 |
| Business Practice Address: | 2466 1st Ave Ste B San Diego, CA - 921011408 |
| Business Phone Number: | 6192300400 |
| Business Fax Number: | 6193253688 |
| Mailing Address: | Po Box 33865, SAN DIEGO |
| State: | CA |
| Postal Code: | 921633865 |
| Phone Number: | 8588887700 |
| Fax Number: | 8588887721 |
| NPI Enumeration Date: | 07/08/2005 |
| NPI Last Update Date: | 04/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | A52748 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |