# TALIA PRIMARY AND SPECIALTY CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760376081
- **Authorized official:** ROBERTO SANTANA (CEO)
- **Authorized official phone:** (661) 425-0295

## Contact information

- **Practice address:** 5550 PAINTED MIRAGE RD STE 200, LAS VEGAS, NV 89149-4592
- **Practice address phone:** (661) 425-0295
- **Mailing address:** PO BOX 16297, BEVERLY HILLS, CA 90209-2297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2025
- **Last updated:** 12/02/2025