Provider Type Icon

KEITH ALLEN TELLIGMAN NPI 1093059917


NPI Information

NPI: 1093059917
Provider Name: KEITH ALLEN TELLIGMAN
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
5966 COSTELLO AVE
VALLEY GLEN, CA
ZIP 91401
Phone: (818) 667-4365
Get Directions

Keith Allen Telligman is a rehabilitation practitioner in Valley Glen, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Keith Allen Telligman NPI is 1093059917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5966 COSTELLO AVE
VALLEY GLEN, CA
ZIP 91401-338
Phone: (818) 667-4365

The enumeration date for this NPI number is 11/15/2012 and was last updated on 2/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225400000XRehabilitation Practitioner9176CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.