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Contact Information

TRACEY L TELLES, MD
320 LENNON LN
WALNUT CREEK, CA94598-2419
 Phone: 925-906-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for TRACEY L TELLES · (Female)

NPI Number 1871671966
Status Active
Credentials MD
Entity Individual
Enumeration date 11/02/2006
Last updated 12/13/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G84645
  • CA Medicaid 00G846450
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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