Healthcare Provider Details

I. General information

NPI: 1700322567
Provider Name (Legal Business Name): TELEGRAPH MEDICAL PHYSICIANS GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2017
Last Update Date: 08/16/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18090 BEACH BLVD STE 3
HUNTINGTON BEACH CA
92648-1327
US

IV. Provider business mailing address

18090 BEACH BLVD STE 3
HUNTINGTON BEACH CA
92648-1327
US

V. Phone/Fax

Practice location:
  • Phone: 714-848-5555
  • Fax: 888-977-3286
Mailing address:
  • Phone: 714-848-5555
  • Fax: 888-977-3286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARC FRIEDMAN
Title or Position: MANAGER
Credential:
Phone: 714-907-7458