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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