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Organization
TMG MEDICAL GROUP, INC
Active
Organization
TMG MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIENVENIDO TAN MD (PRESIDENT)
(661) 259-6300
Entity
Organization
Contact information
Practice address
17834 MIRANDA ST, ENCINO, CA 91316-1115
(818) 600-8193
(818) 600-8194
Mailing address
17834 MIRANDA ST, ENCINO, CA 91316-1115
(818) 600-8193
(818) 600-8194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A18536
CA
Other
Enumeration date
02/06/2007
Last updated
11/13/2015
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