1942570130 NPI number — TYD EXECUTIVE MEDICAL CLINIC

Table of content: (NPI 1942570130)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942570130 NPI number — TYD EXECUTIVE MEDICAL CLINIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TYD EXECUTIVE MEDICAL CLINIC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942570130
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
411 N CENTRAL AVE STE 305
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91203-2020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-500-0205
Provider Business Mailing Address Fax Number:
818-500-1348

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
411 N CENTRAL AVE STE 305
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91203-2020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-500-0205
Provider Business Practice Location Address Fax Number:
818-500-1348
Provider Enumeration Date:
01/05/2012

Additional Information

Authorized Official

Authorized Official Last Name:
DANG
Authorized Official First Name:
TZE
Authorized Official Middle Name:
YU
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
818-500-0205

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X , with the licence number:  G44887 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G44887 . This is a "MEDICAID" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 00G44887 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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