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Provider Information for 1952321846

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

TALAL CHATILA M.D.

Gender: MALE

Individual NPI: 1952321846

Calendar   Last Updated:  2011-10-05
  Certification Date: 

Details

Name Value
NPI 1952321846
Enumeration Date 2006-07-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 5767 W CENTURY BLVD SUITE 400
LOS ANGELES, CA 90045-5631
United States

Phone: 310-206-3952 | Fax: 310-206-0209
View Map External Link
Primary Practice Address 10833 LE CONTE AVE 12-441 MDCC
LOS ANGELES, CA 90095-3075
United States

Phone: 310-206-3952 | Fax: 310-206-0209
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID CA 00C513530
MEDICAID CA GR0053510
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0201X - Pediatrics Pediatric Allergy/Immunology CA C51353