Individual
TAL DAVID
Active
Individual
TAL DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A69504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W17895
MEDICARE GROUP NUMBER
—
01
—
WA69504C
MEDICARE PROVIDER ID
—
Enumeration date
07/26/2006
Last updated
07/01/2020
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