Provider Demographics
NPI:1063031250
Name:TALEB, IOSIF (MD)
Entity Type:Individual
Prefix:
First Name:IOSIF
Middle Name:
Last Name:TALEB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9452 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-7411
Mailing Address - Country:US
Mailing Address - Phone:858-246-1326
Mailing Address - Fax:858-657-1828
Practice Address - Street 1:9452 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-7411
Practice Address - Country:US
Practice Address - Phone:858-246-1326
Practice Address - Fax:858-657-1828
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA186194207RC0000X
UT12441616-1205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine