Individual
TAL RENCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6500
Mailing address
373 COMMONWEALTH AVE, #301, BOSTON, MA 02115-1815
(617) 267-8488
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
C144554
CA
2085R0202X
Diagnostic Radiology Physician
222838
MA
Other
Enumeration date
01/05/2006
Last updated
07/02/2025
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