Provider Demographics
NPI:1417576851
Name:CHRISTOPHER TAICHER MD PC
Entity Type:Organization
Organization Name:CHRISTOPHER TAICHER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:TAICHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:857-210-3635
Mailing Address - Street 1:8275 KIRKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-1923
Mailing Address - Country:US
Mailing Address - Phone:857-210-3635
Mailing Address - Fax:
Practice Address - Street 1:8275 KIRKWOOD DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-1923
Practice Address - Country:US
Practice Address - Phone:857-210-3635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care