Provider Demographics
NPI:1659831287
Name:TCHEKMEDYIAN, RAFFI
Entity type:Individual
Prefix:
First Name:RAFFI
Middle Name:
Last Name:TCHEKMEDYIAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23600 TELO AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4036
Mailing Address - Country:US
Mailing Address - Phone:310-833-1334
Mailing Address - Fax:310-833-0270
Practice Address - Street 1:23600 TELO AVE STE 130
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4036
Practice Address - Country:US
Practice Address - Phone:310-833-1334
Practice Address - Fax:310-833-0270
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA194145207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology