David, Tal

David, Tal is an sole proprietor health care provider with primary practice located at 4910 Directors Pl Ste 350 , San Diego CA 92121-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. David, Tal can be contacted via phone (858) 571-9500.

Contact Information

Primary practice address
4910 Directors Pl Ste 350 San Diego CA 92121-3834
Phone: (858) 571-9500
Fax: (858) 453-7314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A69504 California

Profile Details

NPI number 1629092473
LBN Legal business name David, Tal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629092473 NPPES
Other W17895 MEDICARE GROUP NUMBER
Other W17895 MEDICARE GROUP NUMBER
Other WA69504C MEDICARE GROUP NUMBER

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