# DAVID TELLALIAN M.D. INC

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

## Provider details

- **NPI number:** 1962804666
- **Authorized official:** DAVID TELLALIAN MD (PRESIDENT)
- **Authorized official phone:** (714) 664-0045

## Contact information

- **Practice address:** 720 N TUSTIN AVE, 201, SANTA ANA, CA 92705-3606
- **Practice address phone:** (714) 664-0045
- **Practice address fax:** (714) 664-0049
- **Mailing address:** 720 N TUSTIN AVE, 201, SANTA ANA, CA 92705-3606
- **Mailing address phone:** (714) 664-0045
- **Mailing address fax:** (714) 664-0049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | A110417 | CA | Yes |

## Other

- **Enumeration date:** 09/24/2014
- **Last updated:** 09/24/2014