Provider Demographics
NPI:1548500366
Name:TAJRAN FAMILY MEDICAL CENTER INC
Entity type:Organization
Organization Name:TAJRAN FAMILY MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DEENA
Authorized Official - Middle Name:S
Authorized Official - Last Name:TAJRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD,FACOG
Authorized Official - Phone:858-729-4044
Mailing Address - Street 1:1934 VIA CASA ALTA
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-5730
Mailing Address - Country:US
Mailing Address - Phone:619-442-6600
Mailing Address - Fax:619-442-6601
Practice Address - Street 1:291 E LEXINGTON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-4536
Practice Address - Country:US
Practice Address - Phone:619-442-6600
Practice Address - Fax:619-442-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty