| David Tellalian M.d. Inc | |
|
720 N Tustin Ave 201 Santa Ana CA 92705-3606 | |
| (714) 664-0045 | |
| (714) 664-0049 |
| Full Name | David Tellalian M.d. Inc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 720 N Tustin Ave, Santa Ana, California |
| Authorized Official Name and Position | David Tellalian (PRESIDENT) |
| Authorized Official Contact | 7146640045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Tellalian M.d. Inc 720 N Tustin Ave 201 Santa Ana CA 92705-3606 Ph: (714) 664-0045 | David Tellalian M.d. Inc 720 N Tustin Ave 201 Santa Ana CA 92705-3606 Ph: (714) 664-0045 |
| NPI Number | 1962804666 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 09/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962804666 | NPI | - | NPPES |
| A110417 | Other | CA | MED LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A110417 (California) | Primary |
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