EUGENE TACHUK M.D. NPI 1417330432

NPI Information

  • NPI: 1417330432
  • Provider Name: EUGENE TACHUK, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 3740 ROSECRANS ST STE C
    SAN DIEGO, CA
    ZIP 92110
  • Phone: (619) 222-5433

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NPI Details

Eugene Tachuk, M.D. is a general practice in San Diego, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Eugene Tachuk, M.D. NPI is 1417330432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3740 ROSECRANS ST STE C
SAN DIEGO, CA
ZIP 92110-126
Phone: (619) 222-5433

The enumeration date for this NPI number is 7/8/2015 and was last updated on 7/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyA036884CALIFORNIANo
2207QB0002XFamily MedicineObesity MedicineA036884CALIFORNIANo
3208200000XPlastic SurgeryA036884CALIFORNIANo
4208VP0000XPain MedicinePain MedicineA036884CALIFORNIANo
5208D00000XGeneral PracticeA036884CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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