Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 150252 | CA |
NPI | 1023372711 |
---|---|
Provider Name | Adam Taleb |
First Address | La Jolla, CA 92037-1337 |
Second Address | La Jolla, CA 92037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 29/06/2018 |