Talbert Medical Group

LBN: Davita Medical Group Talbert California, P.C.
Talbert Medical Group is an health care organization with primary practice located at 1236 N Magnolia Ave , Anaheim CA 92801-2607. The organization recently has 14 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Davita Medical Group Talbert California, P.C. can be contacted via phone (714) 995-1000, or through Liethen, John G. via phone (952) 205-6262.

Contact Information

Primary practice address
1236 N Magnolia Ave Anaheim CA 92801-2607
Phone: (714) 995-1000
Fax: (714) 828-7926
Website:
Map and Directions
Authorized official contact:
Name: Liethen, John G.
Phone: (952) 205-6262

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X California
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X California
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X California
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X California
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X California
Allopathic & Osteopathic Physicians / Surgery 208600000X California
Allopathic & Osteopathic Physicians / Urology 208800000X California

Profile Details

NPI number 1477554012
LBN Legal business name Davita Medical Group Talbert California, P.C.
DBA Doing business as Talbert Medical Group
Authorized official Liethen, John G.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2005
Last updated Aug 19th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477554012 NPPES
California MEDICAID GR0077863

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