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Individual

TALAL CHATILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 206-3952
(310) 206-0209

Taxonomy

Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
C51353
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C513530
CA
05
GR0053510
CA
Enumeration date
07/20/2006
Last updated
10/05/2011
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