Provider Demographics
NPI:1730446428
Name:TATIANA VOCI, MD, INC.
Entity type:Organization
Organization Name:TATIANA VOCI, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TATIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOCI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-530-2624
Mailing Address - Street 1:3440 LOMITA BLVD
Mailing Address - Street 2:SUITE 151
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4865
Mailing Address - Country:US
Mailing Address - Phone:310-530-2624
Mailing Address - Fax:310-530-2625
Practice Address - Street 1:3440 LOMITA BLVD
Practice Address - Street 2:SUITE 151
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4865
Practice Address - Country:US
Practice Address - Phone:310-530-2624
Practice Address - Fax:310-530-2625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA753202085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA75320Medicare UPIN