Individual
JARED TALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 643-8100
(619) 532-7272
Mailing address
10285 ROOKWOOD DR, SAN DIEGO, CA 92131-1612
(585) 329-2407
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101279363
VA
Other
Enumeration date
02/15/2022
Last updated
12/09/2025
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