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Organization
TIGER VALLEY MEDICAL GROUP, INC
Active
Organization
TIGER VALLEY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN CHORN M.D. (PRESIDENT)
(818) 550-0900
Entity
Organization
Contact information
Practice address
1711 W TEMPLE ST, LOS ANGELES, CA 90026-5421
(213) 989-6100
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(505) 293-1524
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092830
—
CA
01
—
ZZZ04655Z
BLUE SHIELD
CA
Enumeration date
02/11/2007
Last updated
08/03/2017
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