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NPI Code Detail

MEDICARE: JOHNTIN MEDICAL GROUP INC

MEDICARE: JOHNTIN MEDICAL GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305R00000XPreferred Provider OrganizationG61730CA

General Provider Information

NPI Number : 1336261031
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHNTIN MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 1722 DESIRE AVE STE 208
Second Line :
City : ROWLAND HEIGHTS
State : CA
Zip : 91748-2970
Country : US
Telephone Number : 626-913-1888
Fax Number :
Provider Business Practice Location Address
First Line : 1722 DESIRE AVE STE 208
Second Line :
City : ROWLAND HEIGHTS
State : CA
Zip : 91748-2970
Country : US
Telephone Number : 626-913-1888
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. TIN YUNG
Credential :
Telephone Number : 626-913-1888
Provider Enumeration Date : 04/04/2007
Last Update Date : 08/22/2020

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Directions to “JOHNTIN MEDICAL GROUP INC ” Practice Location

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