EUGENE TACHUK


Address: 3740 Rosecrans St Ste C, San Diego, CA 92110-3126
Phone: 6192225433

EUGENE TACHUK (NPI# 1417330432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417330432
Entity Type Individual
Full Name EUGENE TACHUK
Credential M.D.
Practice Address 3740 Rosecrans St Ste C
San Diego
CA 92110-3126
Practice Telephone 6192225433
Mailing Telephone 6192225433
Enumeration Date 2015-07-08
Last Update Date 2015-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology A036884 CA Allopathic & Osteopathic Physicians
N 208200000X Plastic Surgery A036884 CA Allopathic & Osteopathic Physicians
Y 208D00000X General Practice A036884 CA Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
A036884 CA Allopathic & Osteopathic Physicians
N 207QB0002X Family Medicine
Specialization: Obesity Medicine
A036884 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 3740 ROSECRANS ST STE C
City SAN DIEGO
State CA
Zip Code 92110-3126

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669021713 Ruben Daniel Gutierrez Marriage & Family Therapist 4141 Pacific Coast Hwy, San Diego, CA 92110 2019-09-10
1548724081 Denise Ellen Thompson Counselor 3255 Wings Street, San Diego, CA 92110 2019-01-29
1801378716 Michelle Lisa Jean Crawford Student in an Organized Health Care Education/Training Program 3767 Central Avenue, San Diego, CA 92110 2018-09-06
1427539048 Allison Turrell Case Manager/Care Coordinator 4930 Naples Street, San Diego, CA 92110 2018-08-22
1750872768 Matthew Langworthy Physical Therapist 3405 Kenyon St Ste 212, San Diego, CA 92110 2018-05-24
1245748342 The One Health Boutique, LLC Chiropractor 5350 Riley St, San Diego, CA 92110 2018-01-11
1437670155 Monique A Fernandez Counselor 3132 Jefferson Street, San Diego, CA 92110 2017-07-03
1538510391 Mayu Winters Registered Nurse 853 Rosecrans St, San Diego, CA 92110 2016-06-23
1376998864 Briniti Ichull Specialist 3941 Kurtz St, San Diego, CA 92110 2016-05-03
1912352576 Healthcare Services, Inc. Substance Abuse Rehabilitation Facility 3880 Rosecrans Street, San Diego, CA 92110 2016-05-02
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316553530 Kimberly Ann Callaway General Practice 4893 Drakewood Ter, San Diego, CA 92130-1406 2020-09-22
1629626981 Rejuvenate Medical Group Inc General Practice 5030 Camino De La Siesta Ste 404, San Diego, CA 92108-3120 2019-08-29
1114484573 Revive Medical of San Diego General Practice 7220 Trade St Ste 209, San Diego, CA 92121-2326 2019-02-21
1144790643 Elaine Esguerra General Practice 751 Kentmere Ter, San Diego, CA 92154-8415 2018-11-28
1609350909 Cristina Lavenant Gordon General Practice 10912 Derrydown Way, San Diego, CA 92130-2897 2018-09-21
1144723289 Andrew T Bagby General Practice 601 Mc Cain Blvd, San Diego, CA 92135 2018-03-15
1568828671 Ceferina Pulgar Ruiz General Practice 6809 Freed Manor Lane, San Diego, CA 92114 2016-01-05
1578941597 Zenus Joe Wilson General Practice 2446 Trident Way Bldg 637, San Diego, CA 92155-5494 2015-05-11
1457761090 David Lilienfeld General Practice 13412 Pantera Rd, San Diego, CA 92130-1022 2014-05-05
1972920882 Genevieve Dowling General Practice 5575 Ruffin Rd # 100us, San Diego, CA 92123-1380 2014-03-28
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Competitor

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City SAN DIEGO
Zip Code 92110

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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