Healthcare Provider Details

I. General information

NPI: 1265176804
Provider Name (Legal Business Name): TLMC CONSULTING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 04/21/2022
Certification Date: 04/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25043 NARBONNE AVE
LOMITA CA
90717-2101
US

IV. Provider business mailing address

25043 NARBONNE AVE
LOMITA CA
90717-2101
US

V. Phone/Fax

Practice location:
  • Phone: 310-373-8120
  • Fax: 424-203-8980
Mailing address:
  • Phone: 310-373-8120
  • Fax: 424-203-8980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK AN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 310-373-8120