Healthcare Provider Details
I. General information
NPI: 1144626714
Provider Name (Legal Business Name): TALBERT ANESTHESIA GROUP INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/10/2014
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10904 REAGAN ST
LOS ALAMITOS CA
90720-2435
US
IV. Provider business mailing address
6100 WATERFORD DISTRICT DR STE 450
MIAMI FL
33126-4692
US
V. Phone/Fax
- Phone: 562-596-3140
- Fax:
- Phone: 888-787-1598
- Fax: 714-795-6829
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMES
NGUYEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 619-518-4593