Provider Demographics
NPI:1538136379
Name:TALANIAN, REYNA MARIA (MD)
Entity Type:Individual
Prefix:MS
First Name:REYNA
Middle Name:MARIA
Last Name:TALANIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:310-301-5200
Mailing Address - Fax:
Practice Address - Street 1:5383 HOLLISTER AVE STE 160
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93111-2357
Practice Address - Country:US
Practice Address - Phone:805-681-0013
Practice Address - Fax:805-681-0019
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82864207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A828640OtherBLUE SHIELD PIN
CA00A828640OtherSBRHA PIN
CA00A828640OtherBLUE SHIELD PIN