Provider Demographics
NPI:1750739777
Name:DRS HYMAN & TIO A PARTNERSHIP FOR WOMENS HEALTH
Entity type:Organization
Organization Name:DRS HYMAN & TIO A PARTNERSHIP FOR WOMENS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IMELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-932-0728
Mailing Address - Street 1:7320 WOODLAKE AVE
Mailing Address - Street 2:280
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1468
Mailing Address - Country:US
Mailing Address - Phone:818-932-0728
Mailing Address - Fax:818-932-9037
Practice Address - Street 1:7320 WOODLAKE AVE
Practice Address - Street 2:280
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1468
Practice Address - Country:US
Practice Address - Phone:818-932-0728
Practice Address - Fax:818-932-9037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-31
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62645207V00000X
CAA55120207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB273715OtherPTAN INDIVIDUAL IMELDA TIO MD
CACB273629OtherPTAN GROUP
CACB273715OtherPTAN INDIVIDUAL IMELDA TIO MD
CACB273629OtherPTAN GROUP