Organization
TALIA PRIMARY AND SPECIALTY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO SANTANA (CEO)
(661) 425-0295
Entity
Organization
Contact information
Practice address
5550 PAINTED MIRAGE RD STE 200, LAS VEGAS, NV 89149-4592
(661) 425-0295
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
12/02/2025
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