| Talbert Medical Group | |
|
13152 Newport Ave Tustin CA 92780-3416 | |
| (714) 443-4864 | |
| Not Available |
| Full Name | Talbert Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 13152 Newport Ave, Tustin, California |
| Authorized Official Name and Position | John G. Liethen (SECRETARY) |
| Authorized Official Contact | 9522056262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Talbert Medical Group P.o. Box 6400 Torrance CA 90504-6400 Ph: (714) 443-4864 | Talbert Medical Group 13152 Newport Ave Tustin CA 92780-3416 Ph: (714) 443-4864 |
| NPI Number | 1518968098 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 08/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518968098 | NPI | - | NPPES |
| GR007786B | Medicaid | CA |
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