Organization
TAL DAVID, MD, INC
Active
Organization
TAL DAVID, MD, INC
Active
Other names
Tal S. David, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TAL S. DAVID MD (PRESIDENT)
(858) 571-9500
Entity
Organization
Contact information
Practice address
5471 KEARNY VILLA RD., SUITE 200, SAN DIEGO, CA 92123-1143
(858) 571-9500
(858) 715-4946
Mailing address
5471 KEARNY VILLA RD., SUITE 200, SAN DIEGO, CA 92123-1143
(858) 571-9500
(858) 715-4946
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 NO.
CA
01
—
WA69504C
MEDICARE PROVIDER ID
CA
Enumeration date
01/29/2007
Last updated
03/17/2010
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