Provider Demographics
NPI:1548439920
Name:TAGHVA, ALEXANDER S (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:S
Last Name:TAGHVA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:26732 CROWN VALLEY PKWY STE 541
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6376
Mailing Address - Country:US
Mailing Address - Phone:949-388-7190
Mailing Address - Fax:949-388-7050
Practice Address - Street 1:26732 CROWN VALLEY PKWY STE 541
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6376
Practice Address - Country:US
Practice Address - Phone:949-388-7190
Practice Address - Fax:949-388-7050
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA96899207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery