Provider Demographics
NPI:1932132545
Name:TIAN RUI MEDICAL GROUP INC
Entity Type:Organization
Organization Name:TIAN RUI MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUN
Authorized Official - Middle Name:P
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:626-573-9102
Mailing Address - Street 1:7940 E GARVEY AVE
Mailing Address - Street 2:STE 105
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770
Mailing Address - Country:US
Mailing Address - Phone:626-573-9102
Mailing Address - Fax:626-573-9102
Practice Address - Street 1:7940 E GARVEY AVE
Practice Address - Street 2:STE 105
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770
Practice Address - Country:US
Practice Address - Phone:626-573-9102
Practice Address - Fax:626-573-9102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty