Organization
TICHENOR LOWMAN MILLER MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TORIN CUNNINGHAM M.D. (PRESIDENT)
(562) 933-0249
Entity
Organization
Contact information
Practice address
1760 TERMINO AVE, SUITE 308, LONG BEACH, CA 90804-2105
(562) 933-0249
(562) 933-3747
Mailing address
PO BOX 1354, LONG BEACH, CA 90801-1354
(562) 933-0249
(562) 933-3747
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
A70356
CA
207XS0106X
Orthopaedic Hand Surgery Physician
A70356
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
A70356
CA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
A70356
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A70356
CA
207XX0801X
Orthopaedic Trauma Physician
A70356
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
A70356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0078510
—
CA
Enumeration date
09/13/2006
Last updated
04/18/2011
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