Provider Demographics
NPI:1265468201
Name:TARNG CHIROPRACTIC INC
Entity Type:Organization
Organization Name:TARNG CHIROPRACTIC INC
Other - Org Name:JOYFUL CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TUNG HUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TARNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-810-8280
Mailing Address - Street 1:17524 E. COLIMA RD.
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748
Mailing Address - Country:US
Mailing Address - Phone:626-810-8280
Mailing Address - Fax:626-820-6401
Practice Address - Street 1:17524 E. COLIMA RD.
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748
Practice Address - Country:US
Practice Address - Phone:626-810-8280
Practice Address - Fax:626-820-6401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25388111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWDC25388AMedicare ID - Type UnspecifiedMEDICARE MEMBER ID
CAW19272Medicare ID - Type UnspecifiedMEDICARE GROUP ID
CAU93958Medicare UPIN