Talbert Medical Group, P.C.
Family Medicine in Santa Ana, CA. Organization (NPI-2).
NPI number1477554020
StatusActive
Last updated in NPPESAug 19, 2019
Details
- NPI
- 1477554020
- Entity type
- Organization (NPI-2)
- Legal business name
- Talbert Medical Group, P.C.
- Organization subpart
- No
- Enumeration date
- Aug 4, 2005
- Last updated
- Aug 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | CA | Yes |
| 133V00000X | Dietitian, Registered | – | CA | |
| 207R00000X | Internal Medicine | – | CA | |
| 207V00000X | Obstetrics & Gynecology | – | CA | |
| 208000000X | Pediatrics | – | CA |
Other names
- Talbert Medical Group (Doing Business As)
Practice location
1002 N Fairview StSanta Ana, CA 92703-1811
Phone 714-835-8501 · Fax 714-835-3912
Mailing address
P.O. Box 6400Torrance, CA 90504-6400
Phone 310-783-5552 · Fax 310-783-5581
Authorized official
John G. Liethen
Secretary
9522056262
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