Healthcare Provider Details

I. General information

NPI: 1568477180
Provider Name (Legal Business Name): T & G HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 05/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3948 PECK RD SUITE A1-A2
EL MONTE CA
91732-2255
US

IV. Provider business mailing address

3948 PECK RD SUITE A1-A2
EL MONTE CA
91732-2255
US

V. Phone/Fax

Practice location:
  • Phone: 626-448-2507
  • Fax: 626-448-2576
Mailing address:
  • Phone: 626-448-2507
  • Fax: 626-448-2576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY48958
License Number StateCA

VIII. Authorized Official

Name: KHANH-LONG THAI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PHARM.D.
Phone: 626-448-2507