# TMG MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902946585
- **Authorized official:** DR. BIENVENIDO TAN MD (PRESIDENT)
- **Authorized official phone:** (661) 259-6300

## Contact information

- **Practice address:** 17834 MIRANDA ST, ENCINO, CA 91316-1115
- **Practice address phone:** (818) 600-8193
- **Practice address fax:** (818) 600-8194
- **Mailing address:** 17834 MIRANDA ST, ENCINO, CA 91316-1115
- **Mailing address phone:** (818) 600-8193
- **Mailing address fax:** (818) 600-8194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | A18536 | CA | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 11/13/2015