Organization
TALBERT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J. MARGOLIS MD (C.E.O.)
(310) 354-4221
Entity
Organization
Contact information
Practice address
1665 SCENIC AVE, STE 100, COSTA MESA, CA 92626-1443
(310) 354-4221
Mailing address
PO BOX 6400, TORRANCE, CA 90504-0400
(310) 783-5552
(310) 783-5581
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
FNP26902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W13900
MEDICARE
CA
Enumeration date
06/10/2005
Last updated
09/20/2024
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