Provider Demographics
NPI:1790429108
Name:TALAMI HEALTH AND WELLNESS INC
Entity Type:Organization
Organization Name:TALAMI HEALTH AND WELLNESS INC
Other - Org Name:TALAMI HEALTH AND WELLNESS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:USAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKAZAKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-919-0906
Mailing Address - Street 1:505 N MOLLISON AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-6159
Mailing Address - Country:US
Mailing Address - Phone:619-354-4694
Mailing Address - Fax:619-310-9709
Practice Address - Street 1:505 N MOLLISON AVE STE 103
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-6159
Practice Address - Country:US
Practice Address - Phone:619-354-4694
Practice Address - Fax:619-310-9709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty