Individual
DAVID MICHAEL TELLALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8635 W 3RD ST STE 465W, LOS ANGELES, CA 90048-6111
(310) 358-2300
(310) 358-2308
Mailing address
8390 CHAMPIONS GATE BLVD, SUITE 215, CHAMPIONS GATE, FL 33896-8310
(407) 390-1677
(407) 390-1765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A110417
CA
207RI0200X
Infectious Disease Physician
A110417
CA
Other
Enumeration date
05/20/2008
Last updated
12/30/2024
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