Most Relevant Information
Provider Data
| NPI Number: | 1003073826 |
| Provider Name: | DAVID MICHAEL TELLALIAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207RI0200X |
| Specialty: | Internal Medicine |
| License Number: | A110417 |
Most Important Dates
| Enumeration Date: | 05/20/2008 |
| Last Updated: | 02/19/2020 |
Provider Practice Location
8635 W 3RD ST STE 465W
LOS ANGELES
CA
900486111
Practice Location Phone/Fax
| Phone: | 3103582300 |
| Fax: | 3103582308 |
Provider Mailing Location
8390 CHAMPIONS GATE BLVD
SUITE 215
CHAMPIONS GATE
FL
338968310
Provider Mailing Phone/Fax
| Phone: | 4073901677 |
| Fax: | 4073901765 |
Suggested EMR
Infectious Disease EMR