Provider Demographics
NPI:1497077390
Name:FIRST ALLIANCE MEDICAL GROUP INC.
Entity Type:Organization
Organization Name:FIRST ALLIANCE MEDICAL GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHIENFU
Authorized Official - Middle Name:CHARLIE
Authorized Official - Last Name:TSAO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:626-756-1880
Mailing Address - Street 1:705 E NORWOOD PL
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-5307
Mailing Address - Country:US
Mailing Address - Phone:626-756-1880
Mailing Address - Fax:
Practice Address - Street 1:700 E WALNUT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1685
Practice Address - Country:US
Practice Address - Phone:626-756-1880
Practice Address - Fax:626-288-0230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13190171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty