TPIRC MEDICAL FOUNDATION INC

Provider Demographics

• NPI: 1225611312
• Name: TPIRC MEDICAL FOUNDATION INC
• Entity Type: Organization
• Organization Name: TPIRC MEDICAL FOUNDATION INC
• Other - Org Name: TRANSLATIONAL PULMONARY AND IMMUNOLOGY RESEARCH
• Other - Org Type: Other Name
• Authorized Official - Title/Position: COO
• Authorized Official - First Name: ANOOP
• Authorized Official - Last Name: LOHARA
• Authorized Official - Phone: 805-501-6217
• Mailing Address - Street 1: PO BOX 2246
• Mailing Address - City: SEAL BEACH
• Mailing Address - State: CA
• Mailing Address - Zip Code: 90740-1246
• Mailing Address - Country: US
• Mailing Address - Phone: 562-353-5907
• Practice Address - Street 1: 701 E 28TH ST STE 419
• Practice Address - City: LONG BEACH
• Practice Address - State: CA
• Practice Address - Zip Code: 90806-2775
• Practice Address - Country: US
• Practice Address - Phone: 562-353-5907
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2021-05-05
• Last Update Date: 2022-09-12

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	2080P0201X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Allergy/Immunology	Group - Multi-Specialty
No	207K00000X	Allopathic & Osteopathic Physicians	Allergy & Immunology		Group - Multi-Specialty
No	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine	Pulmonary Disease	Group - Multi-Specialty
No	2080P0214X	Allopathic & Osteopathic Physicians	Pediatrics	Pediatric Pulmonology	Group - Multi-Specialty
No	261QM1300X	Ambulatory Health Care Facilities	Clinic/Center	Multi-Specialty	Group - Multi-Specialty
No	261QM2500X	Ambulatory Health Care Facilities	Clinic/Center	Medical Specialty	Group - Multi-Specialty
No	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant		Group - Multi-Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Multi-Specialty
No	363LP0200X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Pediatrics	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
CA	1871832360	Medicaid
CA	1891349882	Medicaid
CA	1821476292	Medicaid
CA	1881247393	Medicaid
CA	1902381155	Medicaid
CA	1023461696	Medicaid
CA	1629140686	Medicaid
CA	1699123927	Medicaid
CA	1780796342	Medicaid
CA	1144351834	Medicaid
CA	1629140686	Medicaid
CA	1780796342	Medicaid
CA	1366083099	Medicaid
CA	1528685054	Medicaid
CA	1548806342	Medicaid
CA	1881247393	Medicaid
CA	1114557329	Medicaid
CA	1699123927	Medicaid
CA	1902381155	Medicaid
CA	1699032805	Medicaid
CA	1730593005	Medicaid