DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C.

ANAHEIM, CA
NPI1477554012
Doing Business AsTALBERT MEDICAL GROUP
Entity TypeOrganization
Authorized ContactJOHN G. LIETHEN
Secretary
952-205-6262
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207PE0004X Emergency Medicine, Emergency Medical Services
207R00000X Internal Medicine
207V00000X Obstetrics & Gynecology
207N00000X Dermatology
207W00000X Ophthalmology
207Y00000X Otolaryngology
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
208000000X Pediatrics
2084N0400X Psychiatry & Neurology, Neurology
208600000X Surgery
208800000X Urology
152W00000X Optometrist
207K00000X Allergy & Immunology
Enumeration Date2005-08-04
Last Update Date2019-08-19
Business Address
DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C.
1236 N MAGNOLIA AVE
ANAHEIM, CA 92801-2607
Phone number: 714-995-1000
Mailing Address
DAVITA MEDICAL GROUP TALBERT CALIFORNIA, P.C.
P.O. BOX 6400
TORRANCE, CA 90504-6400
Phone number: 310-783-5552