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TALIA MEDICAL GROUP A PROFESSIONAL CORPORATION NPI 1245330042


NPI Information

NPI: 1245330042
Provider Name: TALIA MEDICAL GROUP, A PROFESSIONAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0973938

Address:
41593 WINCHESTER RD
STE 101
TEMECULA, CA
ZIP 92590
Phone: (951) 719-1111
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TALIA MEDICAL GROUP, A PROFESSIONAL CORPORATION is a specialist in Temecula, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TALIA MEDICAL GROUP, A PROFESSIONAL CORPORATION NPI is 1245330042. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

41593 WINCHESTER RD
STE 101
TEMECULA, CA
ZIP 92590-860
Phone: (951) 719-1111
Fax: (951) 719-1122

The provider's authorized official is Michael S Basch .
The authorized official title is Owner and has the following contact phone number (951) 719-1111.

The CLIA number assigned to this NPI record is 05D0973938 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 8/3/2007.


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
1174400000XSpecialist015430CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13408935MEDICAIDCALIFORNIA
200A623140MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPROVIDER NUMBER

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: 4/28/2024

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.