Provider Demographics
NPI:1801354642
Name:TONY MEDICAL GROUP CO.
Entity type:Organization
Organization Name:TONY MEDICAL GROUP CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ZHUO
Authorized Official - Middle Name:
Authorized Official - Last Name:JIAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-515-7135
Mailing Address - Street 1:4545 BARTOLO TER
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-5616
Mailing Address - Country:US
Mailing Address - Phone:408-515-1348
Mailing Address - Fax:
Practice Address - Street 1:4545 BARTOLO TER
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-5616
Practice Address - Country:US
Practice Address - Phone:408-515-7135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty