Doctor Name: | GREGORY H. TCHEJEYAN |
NPI Number: | 1689668188 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., INC |
License Number: | A55364 |
Business Practice Address: | 2100 Lynn Road Suite 115 Thousand Oaks, CA - 913608031 |
Business Phone Number: | 8054953687 |
Business Fax Number: | 8054941828 |
Mailing Address: | 2100 Lynn Road, Suite 115 THOUSAND OAKS |
State: | CA |
Postal Code: | 913608031 |
Phone Number: | 8054953687 |
Fax Number: | 8054941828 |
NPI Enumeration Date: | 09/12/2005 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A55364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |