Talavera, Gregory A

Talavera, Gregory A is an individual health care provider with primary practice located at 4004 Beyer Blvd , San Ysidro CA 92173-2007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Talavera, Gregory A can be contacted via phone (619) 428-4463.

Contact Information

Primary practice address
4004 Beyer Blvd San Ysidro CA 92173-2007
Phone: (619) 428-4463
Fax: (619) 428-7952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A40061 California
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X A40061 California

Profile Details

NPI number 1740337161
LBN Legal business name Talavera, Gregory A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 9th, 2007 - about 19 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 1740337161 NPPES
California Other A40061 CA. LICENSE

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