Talbert Medical Group

LBN: Talbert Medical Group, P.C.
Talbert Medical Group is an health care organization with primary practice located at 13152 Newport Ave , Tustin CA 92780-3416. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Talbert Medical Group, P.C. can be contacted via phone (714) 443-4864, or through Liethen, John G. via phone (952) 205-6262.

Contact Information

Primary practice address
13152 Newport Ave Tustin CA 92780-3416
Phone: (714) 443-4864
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liethen, John G.
Phone: (952) 205-6262

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California

Profile Details

NPI number 1518968098
LBN Legal business name Talbert Medical Group, P.C.
DBA Doing business as Talbert Medical Group
Authorized official Liethen, John G.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 20th, 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 1518968098 NPPES
California MEDICAID GR007786B

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