Provider Demographics
NPI:1609021864
Name:T&L MEDICAL GROUP
Entity Type:Organization
Organization Name:T&L MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIEN-LIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-253-2434
Mailing Address - Street 1:25880 TOURNAMENT ROAD
Mailing Address - Street 2:110
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2386
Mailing Address - Country:US
Mailing Address - Phone:661-253-2434
Mailing Address - Fax:661-254-7768
Practice Address - Street 1:25880 TOURNAMENT RD
Practice Address - Street 2:110
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2349
Practice Address - Country:US
Practice Address - Phone:661-253-2434
Practice Address - Fax:661-254-7768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9160171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty