Telles, Tracey L.

Telles, Tracey L. is an individual health care provider with primary practice located at 320 Lennon Ln , Walnut Creek CA 94598-2419. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Telles, Tracey L. can be contacted via phone (925) 906-2000.

Contact Information

Primary practice address
320 Lennon Ln Walnut Creek CA 94598-2419
Phone: (925) 906-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X G84645 California

Profile Details

NPI number 1871671966
LBN Legal business name Telles, Tracey L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 13th, 2021 - about 3 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 1871671966 NPPES
California MEDICAID 00G846450

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