Individual ProviderEfrain TalamantesInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1225 15th St, 910, Santa Monica, CA 90404-1101(310) 319-4698(310) 267-9643PECOS EnrollmentBased on the most recent information from CMS, provider Efrain Talamantes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1063688802Provider TypeIndividualFull NameTalamantes, EfrainCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/1/2008Last Updated9/21/2011Contact InformationPractice LocationPractice Address1225 15th St, 910, Santa Monica, CA 90404-1101Phone(310) 319-4698Fax(310) 319-4908Mailing LocationMailing Address757 Westwood Plz, Los Angeles, CA 90095-8358Phone(310) 267-9643Fax(310) 319-4908Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA109825CaliforniaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseA109825CaliforniaProvider IdentifiersIDDescriptionIssuerID1063688802DescriptionMedicaidIssuerUnlistedCalifornia