Healthcare Provider Details

I. General information

NPI: 1811268964
Provider Name (Legal Business Name): TE MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2012
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2148 E ANAHEIM ST
LONG BEACH CA
90804-3408
US

IV. Provider business mailing address

2148 E ANAHEIM ST
LONG BEACH CA
90804-3408
US

V. Phone/Fax

Practice location:
  • Phone: 562-218-4298
  • Fax: 562-218-1480
Mailing address:
  • Phone: 562-218-4298
  • Fax: 562-218-1480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberA106386
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SEANGLONG TE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-376-2018